A client is admitted with a small bowel (small intestine) obstruction. Which assessment findings are consistent with this diagnosis?
SELECT ALL THAT APPLY
Profuse vomiting.
Abdominal pain and distention.
Pain relieved by eating.
Blood in the stool.
Correct Answer : A,B,E
Small bowel obstruction can lead to the accumulation of gastric contents above the obstruction, causing vomiting.
Obstruction of the small bowel can result in crampy, colicky abdominal pain and abdominal distention.
Electrolyte imbalances, such as hypokalemia (low potassium), can occur due to vomiting and inadequate intake in cases of small bowel obstruction.
The following finding is not directly associated with small bowel obstruction:
Pain relief after eating is more commonly associated with peptic ulcer disease, not small bowel obstruction.
While blood in the stool can be seen in some cases of bowel obstruction, it is more commonly associated with lower gastrointestinal bleeding or other conditions affecting the colon, rather than small bowel obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The given observations suggest the occurrence of malignant hyperthermia (MH), a potentially life-threatening reaction to certain medications used during anesthesia. MH is characterized by an increase in heart rate (tachycardia), elevated body temperature (hyperthermia), and muscle rigidity. The primary treatment for MH is the administration of dantrolene, which is a skeletal muscle relaxant that helps to counteract the effects of the reaction.
Naloxone (Narcan) is an opioid receptor antagonist used to reverse the effects of opioid overdose or excessive opioid sedation.
Furosemide (Lasix) is a diuretic used to treat conditions such as edema and high blood pressure.
Flumazenil (Romazicon) is a benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose or excessive sedation.
Correct Answer is B
Explanation
Acute adrenal insufficiency, also known as adrenal crisis, is characterized by low levels of adrenal hormones, particularly cortisol. One of the primary manifestations of adrenal insufficiency is electrolyte imbalance, specifically hyponatremia (low sodium) and hyperkalemia (high potassium). Inadequate cortisol levels can lead to impaired sodium reabsorption in the kidneys, resulting in sodium loss and low serum sodium levels.
When the patient receives appropriate therapies for acute adrenal insufficiency, such as administration of glucocorticoids (e.g., hydrocortisone), the cortisol levels begin to normalize. As a result, the impaired sodium reabsorption improves, leading to an increase in serum sodium levels.
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