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 D

Explanation

The nurse should inform the client that a common side effect of Lisinopril, an ACE inhibitor, is a chronic dry cough. ACE inhibitors can cause irritation in the respiratory tract, leading to a persistent cough. It is important for the client to be aware of this side effect and report it to their healthcare provider if it becomes bothersome.

A. Incompetent lower esophageal sphincter. B. Decreased pressure within the stomach. C. Transient constriction of the lower esophageal sphincter D. Prolonged constriction of the upper esophageal sphincter.

Correct Answer is A

Explanation

The lower esophageal sphincter (LES) is a muscular ring located between the esophagus and stomach. Its function is to prevent the backflow of stomach acid and contents into the esophagus. In GERD, the LES becomes weak or relaxed, allowing stomach acid to flow back up into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain.

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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

The nurse is providing education to a client who is prescribed Lisinopril (ACE inhibitor) for hypertension. The nurse will be sure to include what information about a common side effect?

Correct Answer is D

Explanation

The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD does the nurse include in the teaching session?

Correct Answer is A

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