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A nurse is caring for a 52-year-old male client in the emergency department. It’s now 0800hrs. The client reports worsening mid- abdominal pain, rating it as 8 on a scale of 0 to 10. He states, “I haven’t had a bowel movement in 5 days now.” He also mentions that he has vomited twice since the last assessment.

Exhibits

For each finding, specify if the finding is consistent with small bowel obstruction or acute pancreatitis. Each finding may support more than one disease process.

A.

Abdominal Pain

B.

No Bowel Movement for 5 days

C.

Vomiting

D.

Abdominal Distention

E.

Increased Heart Rate

F.

Elevated Temperature

G.

Distention with fluid and gas in the small bowel (CT Scan)

H.

Sodium: 130 mEq/L

I.

Potassium: 3.3 mEq/L

J.

WBC count: 10,000/mm

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A,B"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A"},"H":{"answers":"A,B"},"I":{"answers":"A,B"},"J":{"answers":"A,B"}}

  • Abdominal Pain: Common in both small bowel obstruction and acute pancreatitis.
  • No Bowel Movement for 5 days: More indicative of small bowel obstruction.
  • Vomiting: Can occur in both conditions.
  • Abdominal Distention: Seen in both small bowel obstruction and acute pancreatitis.

 

  • Increased Heart Rate: Can be a response to pain or infection in both conditions.
  • Elevated Temperature: Can occur in both conditions due to inflammation or infection.
  • Distention with fluid and gas in the small bowel (CT Scan): Specific to small bowel obstruction.
  • Sodium: 130 mEq/L: Hyponatremia can be seen in both conditions.
  • Potassium: 3.3 mEq/L: Hypokalemia can be seen in both conditions.
  • WBC count: 10,000/mm: Leukocytosis can be seen in both conditions due to inflammation.


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Related Questions

Correct Answer is []

Explanation

Based on the provided information, here’s how the diagram should be completed:

  1. Condition the client is most likely experiencing:
    • Asthma
  2. Actions the nurse should take to address that condition:
    • Administer albuterol
    • Monitor ABGs
  3. Parameters the nurse should monitor to assess the client’s progress:
  • Oxygen saturation
  • Breath sounds

Correct Answer is C

Explanation

Choice A rationale

Bathing in a tub until the catheter is removed is not recommended after a transurethral resection of the prostate (TURP). This could increase the risk of infection.

Choice B rationale

Taking ibuprofen for discomfort is not typically recommended after TURP. Ibuprofen can increase the risk of bleeding.

Choice C rationale

Waiting 6 weeks before resuming sexual intercourse is a standard recommendation after TURP. This allows the body time to heal.

Choice D rationale

Driving after 1 week is not typically recommended after TURP. Patients are usually advised to avoid driving until they are free of pain and can move quickly and safely.

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