The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

Paralytic ileus

Incisional infection

Health care-associated Clostridium difficile

Fecal impaction

Answer and Explanation

The Correct Answer is A

A. Paralytic ileus is a common postoperative complication characterized by the absence of bowel sounds, abdominal distention, and failure to pass flatus due to a lack of intestinal peristalsis.

B. Incisional infection would typically present with localized symptoms such as redness, warmth, and purulent drainage at the surgical site, not generalized abdominal distention and lack of bowel sounds.

C. Health care-associated Clostridium difficile infection usually presents with diarrhea, not an absence of bowel sounds or abdominal distention.

D. Fecal impaction is more likely to cause localized pain and possible leakage of liquid stool, rather than complete absence of bowel sounds and severe distention.

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Correct Answer is ["2"]

Explanation

To administer a dose of 650 mg of aspirin when having tablets of 325 mg, the nurse would need to give two tablets. This is because two tablets of 325 mg each will total 650 mg, which is the desired dose.

A. Distended neck veins B. BP 146/94 mm Hg C. Urine specific gravity 1.034 D. Bounding pulse

Correct Answer is C

Explanation

A. Distended neck veins are typically associated with fluid overload, not dehydration.

B. An elevated blood pressure is not a common indicator of dehydration; dehydration often leads to hypotension.

C. An elevated urine specific gravity (greater than 1.030) indicates concentrated urine, which is a sign of dehydration as the body conserves water.

D. A bounding pulse is more indicative of fluid overload rather than dehydration, which often causes a weak, thready pulse.

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The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Correct Answer is C

Explanation

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