The nurse is caring for an older adult in the medical-surgical unit:

84-year-old female was admitted to the medical-surgical unit with a three-day history of abdominal pain, distention, nausea, and persistent vomiting. She reports that she has not had a bowel movement in five days and has no appetite.

Exhibits

Which of the following findings are consistent with a small bowel obstruction: Select all that apply.

Right lower quadrant abdominal pain

Fever

Nausea and vomiting

Unable to pass stool

distended abdomen

Answer and Explanation

Correct Answer : C,D,E

Choice A rationale: Small bowel obstructions typically present with diffuse, crampy abdominal pain rather than localized pain in the right lower quadrant.

Choice B rationale: While fever can be present in some cases, it's not a consistent finding with small bowel obstruction unless there's perforation.

Choice C rationale: Common symptoms of small bowel obstruction due to the buildup of contents proximal to the obstruction.

Choice D rationale: A key feature of small bowel obstruction due to the blockage preventing normal bowel movements.

Choice E rationale: Accumulation of gas and fluid above the obstruction causes abdominal distention.

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Correct Answer is C

Explanation

Choice A rationale: Not a typical characteristic of Crohn's disease; more associated with conditions like rectal fistulas.

Choice B rationale: Crohn's disease commonly involves diarrhea rather than chronic constipation.

Choice C rationale: A common symptom of Crohn's disease due to inflammation and malabsorption in the intestines.

Choice D rationale: Crohn's disease typically presents with diarrhea but not necessarily alternating with constipation. Constipation alternating with diarrhea may also occur in irritable bowel syndrome.

A. genetic cancerous mutations. B. hyperinsulinemia C. cortisol excess. D. estrogen deficit.

Correct Answer is B

Explanation

Choice A rationale: PCOS is not typically associated with genetic cancerous mutations.

Choice B rationale: Insulin resistance and hyperinsulinemia are commonly associated with PCOS, contributing to its pathophysiology.

Choice C rationale: While cortisol abnormalities can cause similar symptoms, it's not a primary finding in PCOS.

Choice D rationale: PCOS often involves hormonal imbalances, but it's not characterized by an estrogen deficit.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the record of a female client with Crohn's disease. Which stool characteristics should the nurse expect to note documented in the client's record?

Correct Answer is C

Explanation

A 25-year-old female presents with amenorrhea and hirsutism and is diagnosed with polycystic ovary syndrome (PCOS). Lab testing will most likely reveal:

Correct Answer is B

Explanation

Amoxicillin trihydrate 300 mg oral (PO) has been prescribed for a client with an oral infection. The medication is available in a liquid suspension that is available as 250 mg/5 mL. How many milliliters should the nurse administer? Record your answer using a whole number.

The nurse is teaching a client with Parkinson's disease about dietary considerations. The nurse understands that this client is at highest risk for:

Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)?

The RN is serving as preceptor to a new graduate nurse who has recently passed the RN licensure (NCLEX®) examination. The new nurse has only been on the unit for 2 days. Which patient should be assigned to the new graduate nurse?

The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

Which client should receive the pictured examination first?

A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with: