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 A

Explanation

Choice A rationale: Yeast vaginitis, commonly known as a yeast infection, is typically caused by an overgrowth of Candida albicans, a type of fungus. Candida albicans overgrowth can lead to symptoms like white, thick discharge and itching in the vaginal area.

Choice B rationale: Lactobacillus acidophilus is a bacterium associated with maintaining vaginal health rather than causing yeast infections.

Choice C rationale: Escherichia coli is a bacteria that can cause different types of infections but are not typically associated with yeast vaginitis.

Choice D rationale: Neisseria gonorrhoeae is a bacteria and does not cause yeast vaginitis despite having similar presentation such as pus discharge per vaginally.

A. A diagnostic test that will detect muscle dysfunction. B. A diagnostic test that determine the mineral density of the bone. C. A diagnostic test that generates detailed images of body structures, including the bones, tissues, organs, and nerves D. A diagnostic test that generates rapid, clear two-dimensional images of the bones, organs, and tissues

Correct Answer is B

Explanation

Choice A rationale: This test is not specific for confirming osteoporosis.

Choice B rationale: This test is called a bone mineral density (BMD) test or a dual-energy X-ray absorptiometry (DXA) scan. It measures how much calcium and other minerals are in a segment of bone.

Choice C rationale: This test is not specific for confirming osteoporosis.

Choice D rationale: This test is not specific for confirming osteoporosis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23-year-old sexually active female presents with white copious discharge and itch and is diagnosed with yeast vaginitis. This condition is caused by overgrowth of which microorganism?

Correct Answer is A

Explanation

Which diagnostic test does the nurse expect the primary care provider to prescribe to confirm a diagnosis of osteoporosis?

Correct Answer is B

Explanation

What information should the nurse include when teaching a young women's community service group about breast self-examination (BSE)?

The home health nurse visits a client with chronic diabetes insipidus: Exhibits Which three (4) client statements would indicate a correct understanding of the teaching?

When providing care for a client receiving peritoneal dialysis. While draining the dialysate the nurse notices that the efluent is cloudy. Which intervention is most important for the nurse to carry out at this moment?

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:

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

The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes mellitus. Which signs and symptoms should the nurse describe when teaching the client about hypoglycemia?

Which is a major side effect of radioactive iodine treatment for hyperthyroidism?

The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?