The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

Flank pain

Watery diarrhea

Fecal vomiting

Occult blood in the stool

Answer and Explanation

The Correct Answer is C

Choice A rationale
Flank pain is not typically associated with a bowel obstruction. It is more commonly associated with kidney problems.
Choice B rationale
Watery diarrhea is not typically a symptom of bowel obstruction. Bowel obstruction usually causes constipation and inability to pass gas or stool.
Choice C rationale
Fecal vomiting is a serious symptom that can occur in severe cases of bowel obstruction. It indicates a significant blockage in the digestive tract that needs immediate medical attention.
Choice D rationale
Occult blood in the stool can be a symptom of many conditions, including bowel obstruction. However, it is not the most concerning symptom in this context.

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Correct Answer is C

Explanation

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice B rationale
Hyperactive bowel sounds are not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice C rationale
Severe upper abdominal pain is a common sign of gastrointestinal perforation in peptic ulcer disease25. The pain is often sudden and severe, and it may spread to the back or shoulder.
Choice D rationale
A report of epigastric fullness is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.

A. Cramping, constant pain to the left lower quadrant B. Diarrhea for 3 days C. Sudden onset 2 hours earlier D. Pain located in the right lower quadrant.

Correct Answer is A

Explanation

Choice A rationale
Diverticulitis is a condition that occurs when small pouches in the digestive tract become inflamed or infected. It typically causes severe, cramping pain that is constant and usually located in the lower left side of the abdomen.
Choice B rationale
While diarrhea can occur with diverticulitis, it is not the primary symptom used to describe the pain associated with this condition.
Choice C rationale
Sudden onset of pain is not typically associated with diverticulitis. The pain from diverticulitis is usually constant and located in the lower left side of the abdomen.
Choice D rationale
Pain located in the right lower quadrant is more commonly associated with conditions such as appendicitis, not diverticulitis.

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The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

Correct Answer is C

Explanation

The nurse is collecting data for a client with abdominal pain. Which pain description is consistent with diverticulitis?

Correct Answer is A

Explanation

A client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?

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