Which of the following is a characteristic feature of irritable bowel syndrome?

weight loss and malnutrition

Alteration between constipation and diarrhea

Severe rectal bleeding

Fever and elevated white blood cell count

Answer and Explanation

The Correct Answer is B

A. Weight loss and malnutrition: IBS does not typically cause weight loss or malnutrition. If a client experiences these symptoms, further evaluation is needed to rule out other conditions such as inflammatory bowel disease (IBD) or malignancy.

B. Alteration between constipation and diarrhea: IBS is characterized by a change in bowel habits, which may include alternating episodes of constipation and diarrhea. This is the correct answer.

C. Severe rectal bleeding: IBS does not cause rectal bleeding. If present, conditions such as hemorrhoids, IBD, or colorectal cancer should be considered.

D. Fever and elevated white blood cell count: IBS does not cause systemic inflammation. Fever and leukocytosis are more indicative of infections or inflammatory disorders like ulcerative colitis or Crohn's disease.

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Correct Answer is C

Explanation

A. Notify the health care provider: While notifying the provider is important, assessing the client comes first to determine if there is active bleeding.

B. Administer a 1-liter bolus of normal saline: Fluid resuscitation is used for shock, but the cause of symptoms must be assessed first.

C. Inspect the biopsy site dressing: The most concerning complication after a liver biopsy is internal bleeding, as the liver is highly vascular. Pallor and near-syncope may indicate hemorrhage. The priority action is to assess the biopsy site for bleeding before taking further action.

D. Position the client on the right side: Clients are typically positioned on the right side after a liver biopsy to apply pressure and reduce bleeding risk, but since the client is already experiencing symptoms of hypovolemia, assessment and intervention for potential hemorrhage take precedence.

A. A client admitted with pancreatitis who is requesting pain medication B. A client post a liver biopsy who has tachycardia and is restless C. A client admitted with ulcerative Colts who is requesting an anti-diarrhea D. A client postop day with dark red drainage the size of a dime on the dressing

Correct Answer is B

Explanation

A. A client admitted with pancreatitis who is requesting pain medication: While pancreatitis causes severe pain, this is not the highest priority. Pain management is important, but it does not indicate an immediate life-threatening issue.

B. A client post a liver biopsy who has tachycardia and is restless: Tachycardia and restlessness following a liver biopsy may indicate internal bleeding due to liver puncture. The liver is highly vascular, and hemorrhage is a serious complication requiring immediate assessment.

C. A client admitted with ulcerative colitis who is requesting an anti-diarrheal: While diarrhea is distressing, this is not life-threatening. The client can be seen after addressing the higher-priority client.

D. A client postop day 1 with dark red drainage the size of a dime on the dressing: Small amounts of dark red drainage are expected postoperatively. This client does not require immediate attention.

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Which of the following is a characteristic feature of irritable bowel syndrome?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who returned from a liver biopsy 30 minutes ago. The client presses the call light and upon arrival in the room the client is pale and complaining of feeling as if they might pass out what of the following is the nurses priority action?

Correct Answer is C

Explanation

The nurse has been assigned to provide care for four clients on the day shift. Aher hearing the 1500 hand-off report, which client does the nurse prioritize to see first?

Correct Answer is B

Explanation

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