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 D
Explanation
A) Incorrect. Avoiding hand hygiene is not an effective way to prevent gastroenteritis; in fact, it increases the risk of infection.
B) Incorrect. Sharing personal items can increase the risk of spreading gastroenteritis, as the virus or bacteria can be easily transmitted through shared items.
C) Incorrect. While alcohol-based hand sanitizers can be used in the absence of soap and water, they are not as effective as proper handwashing.
D) Correct. Proper hand hygiene, especially after using the restroom, is crucial in preventing the spread of gastroenteritis, as it reduces the risk of contaminating hands with potentially infectious agents.
Correct Answer is A
Explanation
A) Correct. Headache can be a symptom of dehydration, which is a common complication of gastroenteritis due to fluid loss through diarrhea and vomiting.
B) Incorrect. Muscle weakness is not a typical symptom of gastroenteritis.
C) Incorrect. Visual disturbances are not typically associated with gastroenteritis.
D) Incorrect. Chest pain is not a common symptom of gastroenteritis.
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