A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)

keeping the client NPO.

measuring abdominal girth.

relieving pain with opioid narcotics.

administering fluid replacement therapy.

preparing the client for radiologic studies.

Answer and Explanation

Correct Answer : A,B,D,E

A.   Keeping the client NPO (nothing by mouth) helps to rest the gastrointestinal tract, reduces the risk of further obstruction, and prevents exacerbation of symptoms such as vomiting.
B.   Measuring abdominal girth is an important nursing assessment for a client with a possible small bowel obstruction. An increase in abdominal girth can indicate abdominal distension, which is a common sign of bowel obstruction.
C.   Severe abdominal pain is a common symptom of bowel obstruction, and opioids may be necessary to manage pain effectively. However, opioids should be used cautiously due to the risk of exacerbating bowel obstruction by reducing bowel motility.
D.   Fluid replacement therapy is important for clients with small bowel obstruction, especially if they are vomiting or have fluid loss due to intestinal secretions. Intravenous fluids may be administered to maintain hydration, correct electrolyte imbalances, and prevent dehydration.
E.   Radiologic studies, such as abdominal X-rays or computed tomography (CT) scans, are often used to confirm the diagnosis of small bowel obstruction and assess its severity.

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Correct Answer is B

Explanation

B. Bismuth subsalicylate, one of the medications prescribed for peptic ulcers, can cause blackening of the stools. This discoloration is harmless and temporary but is an important side effect to be aware of.
A. Citrus juices, including orange juice, can exacerbate symptoms of peptic ulcers due to their acidic nature. Therefore, it would not be appropriate for the client to consume orange juice while taking famotidine and bismuth subsalicylate.
C. Osteoporosis is not a known side effect or concern associated with these medications.
D. Constipation and not diarrhea, is a potential side effect of bismuth subsalicylate.

A. avoid eating nuts and foods with seeds. B. increase fiber in the diet. C. try different methods for stress relief. D. walk more to strengthen abdominal muscles.

Correct Answer is B

Explanation

B. Increase fiber in the diet: This is the correct option. Increasing dietary fiber intake is one of the most important interventions to prevent diverticular disease and reduce the risk of diverticulitis. Adequate fiber intake promotes regular bowel movements and prevents constipation, which can help reduce pressure in the colon and minimize the formation of diverticula.
A. Nuts and seeds are excellent sources of dietary fiber, which may actually help prevent diverticular disease. Therefore, while avoiding nuts and seeds may be advised during an acute diverticulitis flare-up to reduce irritation to the colon, it is not the most important long-term preventive intervention.
C. While stress management techniques may contribute to overall health and well-being, they are not the most important intervention specifically for preventing diverticular disease.
D. While physical activity and exercise are important for overall health and may help improve bowel function, there is limited evidence to suggest that strengthening abdominal muscles alone can prevent diverticular disease.

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A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

Correct Answer is B

Explanation

The client is being discharged after being seen in the urgent care center for a possible first experience with diverticulitis. The client asks the nurse what can be done to prevent further development of diverticular disease. The nurse's most important intervention to teach this client would be to:

Correct Answer is B

Explanation

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