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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A likely cause of a low sodium level (hyponatremia) of 128 mEq/L is the administration of hypotonic IV fluids. Hypotonic IV fluids have a lower concentration of solutes compared to the body's fluids, which can lead to dilutional hyponatremia. When these fluids are administered, they can cause water to move into the cells, diluting the sodium concentration in the bloodstream.

A. Neutrophils: 3,000mm (3,000 to 5,800mm) B. WBC: 14,000/mm (5,000-10,000/mm) C. RBCs: 42 million/mm (4,000 to 55 million/mm) D. Lactic acid level: 0.5 mmol/L (normal: 0.5 mmol/L

Correct Answer is B

Explanation

In a child with acute appendicitis, it is common to observe an elevated white blood cell count (WBC) as a response to the infection or inflammation associated with the condition. The neutrophil count may be within the lower end of the normal range or slightly decreased, as it can be affected by the severity and duration of the appendicitis. The red blood cell count (RBC) appears to be within the normal range. The lactic acid level is normal, indicating no significant metabolic acidosis.

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A client is admitted with a small bowel (small intestine) obstruction. Which assessment findings are consistent with this diagnosis? SELECT ALL THAT APPLY

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Naxlex Comprehensive Predictor Exams

A client's Sodium level is 128 meq/L. The nurse knows that a likely cause of this lab finding is:

Correct Answer is B

Explanation

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing the patient's laboratory values?

Correct Answer is B

Explanation

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A client is admitted with a small bowel (small intestine) obstruction. Which assessment findings are consistent with this diagnosis?
SELECT ALL THAT APPLY