You walk into a room and find a patient forcefully expelling stomach contents into a wash basin. When documenting this occurrence, you will use the term:
Retching
Expectorate
Regurgitation
Vomiting
The Correct Answer is D
Choice A reason: Retching is the involuntary attempt to vomit, involving abdominal muscle contractions without expelling stomach contents. The patient is actively expelling contents, which defines vomiting, not just the effort of retching, making this an incorrect term for documentation.
Choice B reason: Expectorate refers to coughing up and spitting out mucus or sputum from the respiratory tract. The patient is expelling stomach contents, not respiratory secretions, making expectorate an incorrect term for this gastrointestinal event.
Choice C reason: Regurgitation is the passive return of undigested food or liquid from the stomach or esophagus, often without force. The forceful expulsion of stomach contents described indicates vomiting, not regurgitation, making this an incorrect documentation term.
Choice D reason: Vomiting is the forceful expulsion of stomach contents through the mouth, driven by coordinated abdominal and diaphragmatic contractions. The patient’s active expulsion into a basin matches this definition, making vomiting the correct term for documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: Hydration is a treatment, not a complication. Rhabdomyolysis, hyperkalemia, and AKI are complications of crush injuries, with kidney function monitoring essential. This describes an intervention, not a complication, so it’s incorrect.
Choice B reason: Rhabdomyolysis is likely from severe muscle trauma in a crush injury, releasing myoglobin and electrolytes, risking kidney damage. This matches the patient’s injury, making it a correct complication.
Choice C reason: Electrolyte monitoring, especially potassium, is critical due to hyperkalemia risk from muscle breakdown. This can cause arrhythmias, making it a correct selection for complications.
Choice D reason: Acute kidney injury (AKI) is common in rhabdomyolysis, as myoglobin damages kidneys. Given the crush injury, AKI is likely, making this a correct complication.
Choice E reason: Monitoring kidney function (creatinine, BUN, urine output) detects AKI from rhabdomyolysis. This ensures timely intervention, making it a correct choice for complications.
Correct Answer is B
Explanation
Choice A reason: Necrotic bladder implies tissue death, not a nerve-related obstruction. Neurogenic bladder, caused by nerve supply interruption, leads to functional obstruction, making this incorrect for the described condition.
Choice B reason: Neurogenic bladder results from nerve supply interruption, causing dysfunctional bladder control and obstruction. This matches the description of a functional urinary tract issue, making it the correct term.
Choice C reason: Retrograde bladder is not a medical term; retrograde refers to urine backflow. Neurogenic bladder accurately describes nerve-related obstruction, so this is incorrect for the condition.
Choice D reason: Obstructed bladder is vague and not specific to nerve issues. Neurogenic bladder directly addresses nerve supply disruption causing obstruction, making this incorrect for the term.
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