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: Metabolic alkalosis would present with an elevated pH and HCO3, which is not the case here.

Choice B reason: Respiratory alkalosis would present with an elevated pH and a decreased PaCO2, which is not the case here.

Choice C reason: Metabolic acidosis is indicated by a decreased pH and HCO3, which aligns with the ABG findings provided.

Choice D reason: Respiratory acidosis would present with a decreased pH and an elevated PaCO2, which is not the case here.

A. Disequilibrium syndrome B. Septicemia C. Air embolism D. Peritonitis

Correct Answer is A

Explanation

Choice A reason: Disequilibrium syndrome is characterized by headache, nausea, and agitation, which can occur during or after hemodialysis, especially in the first few sessions as the body adjusts to the treatment².

Choice B reason: Septicemia would typically present with fever, chills, and hypotension, not specifically headache and agitation².

Choice C reason: Air embolism is a rare complication that would present with sudden respiratory distress, chest pain, and possibly hypotension, not just headache and agitation².

Choice D reason: Peritonitis is associated with abdominal pain and tenderness, fever, and possibly altered bowel movements, not the symptoms described².

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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 nurse is reviewing a client's laboratory report of arterial blood gas (ABG) findings: pH 7.28, HCO3 18, and PaCO2 36. Which of the following conditions should the nurse anticipate when interpreting these findings?

Correct Answer is C

Explanation

A nurse is caring for a client during his first hemodialysis treatment. The client reports a headache, nausea, and is agitated. Which of the following complications should the nurse identify these findings as manifestations of?

Correct Answer is A

Explanation

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