A client is admitted for medical management of a bowel obstruction. The drainage volume from the nasogastric tube over the last 12 hours is 300 milliliters. Which assessment finding provides the earliest indication that the client is experiencing gastrointestinal motility?

Normalized electrolytes.

Decreased nausea.

Passing of flatus.

Return of appetite.

Answer and Explanation

The Correct Answer is C

A.   Normalized electrolytes are important but do not specifically indicate gastrointestinal motility.
B.   Decreased nausea can be a sign of improvement but is less specific than passing flatus.
C.   Passing flatus indicates that there is movement of gas through the intestines, which is a direct sign of returning gastrointestinal motility.
D.   Return of appetite can occur for various reasons and is not as direct an indicator of GI motility as passing flatus.

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Correct Answer is D

Explanation

A. While it's important to know about peripheral pulses and mobility, this is not as critical immediately post-op.
B. A history of vomiting is relevant but not immediately actionable for the current post-op care.
C. Dry mouth is a common and manageable symptom post-op, but not immediately critical.
D. A soft abdomen, absent bowel sounds, and no bleeding on dressing provide essential information on the client's current post-op status and potential complications, making it the most important information to confirm.

A. Chesty B. Start oxygen 3 L via nasal cannula C. Acetaminophen 350 mg PO q4h for temperature greater than 101 F (38.3") D. Normal saline 150 mi/hour E. NPO F. Start a IV G. Sputum culture H. Place the client on a cardiorespiratory monitor

Correct Answer is ["B","H"]

Explanation

A. Not a priority compared to monitoring vital signs and ensuring adequate oxygenation.

B: Increased oxygen flow is necessary to manage the client's respiratory distress and history of smoking. Correct Answer: 3 L, not 1 L as initially listed.
C: Acetaminophen 350 mg PO q4h for temperature greater than 101 F (38.3°C): Important for fever management but not the first priority in acute respiratory distress.
D: Helps maintain hydration but is secondary to respiratory support in this scenario.

E: Not applicable as there is no immediate need for surgery or risk of aspiration currently indicated.
F: Important for medication administration and fluid balance but follows after ensuring respiratory function.
G: Useful for diagnosing the cause of respiratory symptoms but not a first-line action.

H: Essential for continuously assessing the client's respiratory and cardiac status due to difficulty breathing.

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A client is admitted for medical management of a bowel obstruction. The drainage volume from the nasogastric tube over the last 12 hours is 300 milliliters. Which assessment finding provides the earliest indication that the client is experiencing gastrointestinal motility?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

What 2 orders should the nurse complete first?

Correct Answer is ["B","H"]

Explanation

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