A nurse is assessing a client with suspected gastroenteritis. Which finding would be most concerning and require immediate intervention?
Mild abdominal cramping and bloating.
Absence of bowel movements for 24 hours.
Blood in stool or dark, tarry stools.
Nausea and occasional vomiting.
The Correct Answer is C
A) Incorrect. Mild abdominal cramping and bloating are common symptoms of gastroenteritis and may not require immediate intervention.
B) Incorrect. While absence of bowel movements for 24 hours is concerning, it may not be an immediate emergency compared to other options.
C) Correct. The presence of blood in stool or dark, tarry stools indicates potential gastrointestinal bleeding, which requires immediate attention.
D) Incorrect. Nausea and occasional vomiting are common symptoms of gastroenteritis and may not be an immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Dry lips and a sunken fontanelle are signs of severe dehydration in an infant and require immediate attention.
B) Incorrect. While decreased urine output is a concern, it may not necessitate immediate reporting if it is only slightly decreased.
C) Incorrect. Mild irritability during feedings is a symptom of discomfort but may not necessitate immediate reporting.
D) Incorrect. Occasional vomiting after feeds is a common symptom of gastroenteritis and may not necessitate immediate reporting.
Correct Answer is B
Explanation
A) Incorrect. Untreated GERD is not directly associated with the development of gallstones.
B) Correct. Untreated GERD can lead to complications such as esophagitis (inflammation of the esophagus), ulcers in the esophagus, and strictures (narrowing of the esophagus). These complications can significantly impact a client's health.
C) Incorrect. Untreated GERD does not lead to the formation of kidney stones.
D) Incorrect. Untreated GERD is not directly associated with the development of high blood pressure.
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