A client comes to the emergency department complaining of abdominal cramping and severe persistent diarrhea. The client has recently traveled outside of the United States to an area that may be prone to water contamination. The physician has written several orders. Which assessment and diagnostic physician order would be the first priority for the nurse to complete based on the patient's symptoms?
Abdominal sounds and colonoscopy.
Bowel sounds and obtain a stool specimen.
Abdominal inspection and kidney, bowel, and ureter x-ray.
Bowel palpation and abdominal x-ray.
The Correct Answer is B
The correct answer is choice B: Bowel sounds and obtain a stool specimen.
When a client presents with abdominal cramping and persistent diarrhea, obtaining a stool specimen is the first priority to determine the cause of the diarrhea. The stool specimen can be sent to the laboratory for analysis to check for the presence of bacteria, viruses, or parasites. The nurse should also assess bowel sounds as part of the client's abdominal assessment to monitor for any changes in bowel motility. The other options listed are not the first priority in this situation and may be ordered after the cause of the diarrhea has been determined.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. When performing hygiene care for a client with an indwelling catheter, the nurse should plan to cleanse the catheter from the meatus outward using mild soap and warm water. This helps to prevent infection and ensure proper hygiene. Using the same cleansing cloth for cleaning the perineal area and catheter tubing (choice B) is not recommended as it can cause contamination and increase the risk of infection. The use of chlorhexidine gluconate (CHG) to cleanse the perineal area (choice C) is not necessary for routine catheter care and should only be used for specific indications such as preventing infection during surgery. Therefore, the nurse should always follow proper hygiene protocols and cleanse the catheter from the meatus outward using mild soap and warm water when caring for a client with an indwelling catheter.
Correct Answer is B
Explanation
The correct answer is choice B: Dysuria. Dysuria refers to painful or difficult urination. This can be a symptom of a bladder infection, also known as a urinary tract infection (UTI). When documenting a client's condition, it is important to use accurate terminology to communicate effectively with other healthcare professionals. Other terms such as anuria, oliguria, and polyuria refer to different conditions related to urine output and should not be used to describe the symptom of painful urination.
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