Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Urine specific gravity 1.035.

Pain colicky in nature.

Serum sodium 132 mEq/L.

Frank blood in the N/G suction container.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

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Correct Answer is B

Explanation

Choice A rationale

Bruising is not a common side effect of sulfasalazine. Explaining the medication's potential side effects is important but unrelated to the specific administration intervention.

Choice B rationale

Ensuring the client drinks at least 2000 ml of water daily is crucial when taking sulfasalazine. This medication can cause crystalluria and kidney stones if adequate hydration is not maintained.

Choice C rationale

Sulfasalazine is typically administered multiple times a day with food to decrease gastrointestinal upset, not once a day before breakfast.

Choice D rationale

Assessing the client's stool for steatorrhea and mucus is more relevant for evaluating gastrointestinal conditions rather than the direct administration of sulfasalazine.

Correct Answer is ["688"]

Explanation

Step 1:
Calculate the duration in minutes from 1400 to 1930. 1930 - 1400 = 5 hours 30 minutes = 330 minutes
Step 2:

Determine the infusion rate per hour. 125 mL/hour

Step 3:

Calculate the total volume infused. (125 mL/hour) × (330 minutes ÷ 60 minutes/hour) = (125 mL/hour) × (5.5 hours) = 687.5 mL Rounded to the nearest whole number = 688 mL.

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Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Correct Answer is B

Explanation

The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.

Correct Answer is ["688"]

Explanation

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