The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

Severe abdominal distention and cramping

Vomiting of fecal material and absent bowel sounds

Ribbon-like stools and mild discomfort

Crampy abdominal pain, wavelike and colicky

Answer and Explanation

The Correct Answer is D

D. The initial clinical manifestation associated with an obstruction in the duodenum is crampy abdominal pain, wavelike, and colicky. This discomfort occurs due to the blockage of the small intestine, leading to spasms and pain as the body tries to move contents past the obstruction.
A. Severe abdominal distention and cramping can occur with various gastrointestinal conditions, including an obstruction in the duodenum. However, this manifestation is not specific to duodenal obstruction and can occur with obstructions at other locations in the gastrointestinal tract.
B. Vomiting of fecal material, known as feculent vomiting, is a hallmark sign of a complete obstruction in the lower gastrointestinal tract.
C. Ribbon-like stools are more commonly associated with conditions affecting the lower gastrointestinal tract, such as colorectal cancer or irritable bowel syndrome (IBS).

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Correct Answer is D

Explanation

D. Crohn's disease is a chronic condition for which there is currently no cure. Treatment focuses on managing symptoms, reducing inflammation, and preventing complications through medications, lifestyle changes
A. Crohn's disease is a chronic condition that can affect any part of the gastrointestinal tract, and surgical removal of affected portions does not eliminate the underlying disease process.
B. While some individuals with Crohn's disease may require surgery resulting in an ostomy, it is not true that most people with Crohn's will need this intervention. Many individuals with Crohn's can manage their symptoms with medications and lifestyle modifications without the need for surgery.
C. Crohn's disease is a chronic illness with unpredictable flare-ups and periods of remission. Managing symptoms and maintaining a good quality of life often require ongoing medical management and lifestyle adjustments.

A. drug therapy. B. bariatric surgery. C. dieting. D. an exercise program.

Correct Answer is B

Explanation

B. Bariatric surgery, such as gastric bypass or sleeve gastrectomy, is considered the most effective intervention for sustained weight loss in the extremely obese population. Bariatric surgery leads to significant weight loss and improvement in obesity-related comorbidities such as type 2 diabetes, hypertension, and obstructive sleep apnea.
A. Medications may help in conjunction with lifestyle modifications such as diet and exercise, but they are not typically the primary intervention for sustained weight loss in extremely obese individuals.
C. While dietary modifications are essential for weight loss and management, traditional dieting alone may not provide the most sustained weight loss in the extremely obese population.
D. Regular physical activity is important for overall health and can contribute to weight loss and weight maintenance. However, an exercise program alone may not provide the most sustained weight loss in the extremely obese population, especially without accompanying dietary modifications.

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The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

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Naxlex Comprehensive Predictor Exams

A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be:

Correct Answer is D

Explanation

The nurse understands that the Intervention proven to provide the most sustained weight loss in the extremely obese population is:

Correct Answer is B

Explanation

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