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 D

Explanation

Choice A rationale
Chlorhexidine is an antiseptic that is used for cleaning the skin or the hands and helps to prevent infections caused by bacteria. However, it is not the recommended cleansing agent for hand hygiene in a Clostridium difficile infection.
Choice B rationale
Alcohol-based antiseptics are commonly used for hand hygiene in healthcare settings. However, they are not effective against Clostridium difficile spores.
Choice C rationale
Povidone-iodine is an antiseptic used for skin disinfection before and after surgery. It may not be effective against Clostridium difficile spores.
Choice D rationale
Soap and water are recommended for hand hygiene when caring for a patient with a Clostridium difficile infection. This is because soap and water are effective in removing C. difficile spores from hands.

Correct Answer is ["300"]

Explanation

Step 1: Determine the total time for the infusion in hours. The infusion started at 0330 and should end by 0600. So, the total time for the infusion is 0600 - 0330 = 2.5 hours.

Step 2: Calculate the total volume of IV fluid that should infuse by 0600. The IV fluids are infusing at 120 mL/hr. So, the total volume of IV fluid that should infuse by 0600 is 120 mL/hr
× 2.5 hr = 300 mL. .

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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 caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?

Correct Answer is D

Explanation

At 0330, a nurse is caring for a postoperative client. The client’s IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? .

Correct Answer is ["300"]

Explanation

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