A client is 24 hours post-op after having a colon resection (part of the colon is removed and the healthy ends are sewn back together). His abdominal incision is dry and intact, but the nurse notes that bowel sounds have not returned. What condition is this client likely experiencing?

Paralytic ileus

Clostridium difficile colitis

Constipation

Fecal impaction

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct answer because paralytic ileus is a condition in which the intestinal motility is decreased or absent, resulting in the inability to pass gas or stool. It is a common complication of abdominal surgery, as the manipulation of the bowel can cause inflammation and nerve damage. The nurse should monitor the client for signs of bowel obstruction, such as abdominal distension, nausea, vomiting, and pain.

Choice B reason: This is not the correct answer because Clostridium difficile colitis is a condition in which the normal flora of the colon is disrupted by antibiotic therapy, allowing the overgrowth of a toxin-producing bacteria that causes inflammation and diarrhea. It is not a common complication of abdominal surgery, but rather a risk associated with prolonged hospitalization and antibiotic use.

Choice C reason: This is not the correct answer because constipation is a condition in which the stool is hard, dry, and difficult to pass. It is not a common complication of abdominal surgery, but rather a side effect of opioid analgesics, which can slow down the bowel movements. The nurse should encourage the client to increase fluid and fiber intake, and use stool softeners as prescribed.

Choice D reason: This is not the correct answer because fecal impaction is a condition in which a large mass of stool is stuck in the rectum, preventing the passage of gas or stool. It is not a common complication of abdominal surgery, but rather a result of chronic constipation, dehydration, or immobility. The nurse should assess the client for signs of impaction, such as abdominal cramping, rectal pressure, and leakage of liquid stool.

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Correct Answer is A

Explanation

Choice A reason: This is the correct answer because the RN as a teacher aims to promote health literacy, self-management, and shared decision-making among patients and their families. By helping people to become empowered to take care of their health, the RN can facilitate positive health outcomes and prevent complications.

Choice B reason: This is not the correct answer because the RN as a teacher does not focus on explaining what nurses do, but rather on educating patients about their health conditions, treatments, and self-care. While it is important for the patient to understand the role of the nurse, this is not the main goal of teaching.

Choice C reason: This is not the correct answer because the RN as a teacher does not limit teaching to discharge instructions. Teaching is an ongoing process that starts from admission and continues throughout the continuum of care. Discharge instructions are only one component of teaching that summarizes the key information and actions that the patient needs to follow after leaving the hospital.

Choice D reason: This is not the correct answer because the RN as a teacher does not aim to teach patients how to give themselves treatments to get them out of the hospital quicker, but rather to help them achieve optimal health and wellness. Teaching patients how to give themselves treatments is part of the skill development aspect of teaching, but it is not the main goal. The main goal is to help patients understand the rationale, benefits, and risks of their treatments, and to support them in adhering to their treatment plans.

A. Gradual loss of peripheral vision B. Gradual loss of central vision C. Sudden headache and nausea D. Cloudy blurred vision

Correct Answer is A

Explanation

Choice A reason: Gradual loss of peripheral vision is a characteristic symptom of open-angle glaucoma, which is the most common type of glaucoma. It occurs when the drainage angle of the eye becomes blocked, causing increased intraocular pressure and damage to the optic nerve.

Choice B reason: Gradual loss of central vision is more typical of age-related macular degeneration, which is a condition that affects the macula, the central part of the retina. It is not a symptom of open-angle glaucoma.

Choice C reason: Sudden headache and nausea are signs of acute angle-closure glaucoma, which is a medical emergency that requires immediate treatment. It occurs when the drainage angle of the eye suddenly closes, causing a rapid rise in intraocular pressure and severe pain.

Choice D reason: Cloudy blurred vision is a symptom of cataract, which is a condition that causes the lens of the eye to become cloudy and opaque. It is not a symptom of open-angle glaucoma.

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A client is 24 hours post-op after having a colon resection (part of the colon is removed and the healthy ends are sewn back together). His abdominal incision is dry and intact, but the nurse notes that bowel sounds have not returned. What condition is this client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the main goal for the RN as a teacher?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?

Correct Answer is A

Explanation

A nurse is educating a client about bariatric surgery. Which of the following statements by the client indicate a need for further teaching?

A client has chronic back pain from a work-related injury that occurred 5 years ago. Which patient goal meets the SMART criteria?

When shown an Amsler grid, the client reports seeing wavy, distorted lines. The client also states his center of vision is dark and he has no sense of depth perception. The nurse suspects the client has which of the following conditions?

A nurse is reinforcing teaching with a young adult client who has a family history of osteoporosis. Which of the following health promotion activities should the nurse recommend?

Which statement suggests that the RN understands delegation in the concept of time management?

Twenty minutes after administering pain medication to the patient, the nurse asks if the patient's pain level has decreased. What phase of the nursing process does this demonstrate?

A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?