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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
After a Roux-en-Y surgical procedure, patients are typically put on a liquid-only diet for the first week or two after surgery. Over the next month, they are able to add soft food and eventually regular food back into their diet. Given that the patient is only one day postoperative, the consumption of solid foods like strawberry yogurt could potentially lead to
complications such as dumping syndrome, which is a group of symptoms that includes vomiting, nausea, and dizziness. It occurs when food moves from your stomach into your small intestine too quickly.
Choice B rationale
Chicken broth is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice C rationale
Apple juice is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice D rationale
Iced tea is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Correct Answer is C
Explanation
Choice A rationale
Valerian is a herb that is commonly used for sleep disorders and anxiety. It is not typically used to treat diarrhea, irritable bowel syndrome (IBS), or ulcerative colitis.
Choice B rationale
Garlic is known for its antibacterial, antiviral, and antifungal properties. However, it is not commonly used to treat diarrhea, IBS, or ulcerative colitis.
Choice C rationale
Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. They are often used to treat problems in the stomach and intestines, including IBS and certain types of diarrhea.
Choice D rationale
Ginger root is commonly used to treat various types of stomach problems, including motion sickness, morning sickness, colic, upset stomach, gas, and more. However, it is not typically used to treat diarrhea, IBS, or ulcerative colitis.
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