A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

abdominal distention

visible peristalsis

hypoactive bowel sounds

occasional diarrhea

flatus

Answer and Explanation

Correct Answer : A

A.   Abdominal distention can occur due to gas accumulation from undigested lactose.
B.   Visible peristalsis is not typically a specific clinical finding associated with lactose intolerance.
C.   Hypoactive bowel sounds are not commonly associated with lactose intolerance.
D.   Occasional diarrhea is a common symptom due to the inability to digest lactose properly.
E.   Flatus or excessive gas production is a common symptom due to the fermentation of undigested lactose by intestinal bacteria.

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Correct Answer is A

Explanation

A. Heart failure can lead to fluid accumulation in the legs due to the heart's inability to effectively pump blood, causing increased pressure in the veins.
B. Excess fluid retention or consumption might cause edema, but heart failure specifically impacts the heart's pumping function.
C. Excess fluid consumption might contribute to temporary edema, but severe bilateral lower extremity edema is more likely due to a systemic issue like heart failure.
D. While a pulmonary embolism can lead to edema in the legs, it typically presents with sudden onset and might not present with bilateral edema from feet to knees.

A. A peritoneal friction rub B. Loud continual humming bowel sounds C. Hypoactive bowel sounds D. Loud gurgling bowel sounds

Correct Answer is D

Explanation

A. A peritoneal friction rub is a grating sound caused by inflamed surfaces of the peritoneum rubbing together.
B. Borborygmi refers to loud, gurgling bowel sounds often heard with increased intestinal motility.
C. Hypoactive bowel sounds are abnormally decreased or absent bowel sounds.
D. Borborygmi describes the normal sounds made by the movement of gas and fluid in the intestines.

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A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

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Correct Answer is A

Explanation

The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?

Correct Answer is D

Explanation

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