The nurse is caring for a client who has a small bowel obstruction. When teaching the student nurse about this condition, the nurse will include which of the following findings that are consistent with the diagnosis? (Select all that apply).

Severe fluid and electrolyte imbalance

Upper abdominal distention

Metabolic acidosis

Projectile vomiting with a fecal odor

Diarrhea or ribbon-like stools

Answer and Explanation

Correct Answer : A,B,D

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Correct Answer is C

Explanation

Choice A reason:Rescheduling the scan is not necessary unless there are other contraindications or scheduling conflicts.

Choice B reason:Sending a suction catheter is a precautionary measure, but it does not address the management of the feeding tube during the scan.

Choice C reason:Shutting off the feeding 30-60 minutes before the scan is a standard practice to reduce the risk of aspiration and to ensure that the stomach contents do not interfere with the imaging.

Choice D reason:Connecting the feeding tube to continuous suction is not typically required unless there is a specific concern for aspiration or gastric content management during the scan.

A. Dizziness and pallor B. Abdominal cramping and pain C. Bradycardia and indigestion D. Double vision and chest pain

Correct Answer is A

Explanation

Choice A reason: Dizziness and pallor are common vasomotor symptoms of early dumping syndrome. They result from the rapid shift of fluid into the intestine, leading to a decrease in blood volume and a temporary decrease in blood pressure.

Choice B reason: Abdominal cramping and pain are gastrointestinal symptoms of dumping syndrome but are not specifically vasomotor manifestations. They occur due to the rapid entry of hyperosmolar contents into the small intestine.

Choice C reason: Bradycardia is not typically a symptom of dumping syndrome. Instead, tachycardia is more commonly observed due to the body's response to the rapid changes in the gastrointestinal tract and blood volume.

Choice D reason: Double vision and chest pain are not typical symptoms of dumping syndrome. These symptoms may indicate other medical conditions and should be evaluated separately.

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The nurse is caring for a client who has a small bowel obstruction. When teaching the student nurse about this condition, the nurse will include which of the following findings that are consistent with the diagnosis? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving continuous enteral nutrition through a nasogastric small-bore silicone feeding tube. What should the nurse plan for when this client has a computed tomography (CT) scan ordered?

Correct Answer is C

Explanation

The nurse is monitoring a client who just finished a meal for vasomotor manifestations of dumping syndrome. Which of the following findings indicate this occurrence?

Correct Answer is A

Explanation

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