A burse is assessing a client who is 3 days postoperative and has a nonmechanical obstruction of the small bowel. Which of the following findings should the nurse expect?
Metabolic acidosis
Hyperactive bowel sounds
Distended abdomen
Passing flatus
The Correct Answer is C
A. Metabolic acidosis: Small bowel obstructions are more commonly associated with metabolic alkalosis due to loss of gastric contents from vomiting. Acidosis is less typical in the early stages of obstruction.
B. Hyperactive bowel sounds: In nonmechanical (paralytic ileus) obstruction, bowel sounds are usually absent or hypoactive, not hyperactive, due to lack of peristalsis. Hyperactive sounds are more typical in early mechanical obstruction.
C. Distended abdomen: Abdominal distention is a classic sign of bowel obstruction, resulting from gas and fluid accumulation above the site of obstruction. It is expected in both mechanical and nonmechanical types.
D. Passing flatus: The absence of flatus is common in bowel obstruction, as bowel movement is halted. Continued passage of flatus would suggest partial or resolving obstruction, not a typical finding in active nonmechanical obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Total volume to be infused = 100 mL.
Infusion time in minutes = 30 min.
- Convert the infusion time from minutes to hours.
Infusion time in hours = 30 min / 60 min/hr
= 0.5 hr.
- Calculate the infusion rate in mL per hour.
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
Correct Answer is A
Explanation
A. Discuss the client's food preferences with the hospital's dietitian: Collaborating with the dietitian allows for personalization of the prescribed diet while maintaining its nutritional and therapeutic goals. This approach respects the client’s preferences and promotes adherence to the diabetes management plan.
B. Allow the client's family to bring food from home for the client: While family involvement is valuable, food from home may not comply with dietary restrictions and could interfere with blood glucose control unless reviewed by a dietitian or provider.
C. Request the provider change the client's prescribed diet: The issue is not the suitability of the prescribed diet but rather the client’s acceptance of it. Changing the prescription without first exploring preferences is premature.
D. Offer the client's meals on a different schedule: Changing meal timing alone does not address the client’s refusal to eat. Understanding and integrating food preferences is more effective in encouraging intake and supporting glycemic control.
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