What is a likely finding in the nurse's assessment of a patient who has a large bowel obstruction?

Projectile vomiting

Abdominal distention

Metabolic alkalosis

Referred back pain

Answer and Explanation

The Correct Answer is B

Rationale:
A. Vomiting is more common in small bowel obstruction and is usually less severe in large bowel obstruction.

B. A large bowel obstruction causes accumulation of gas and fecal material proximal to the blockage, leading to significant abdominal distention.

C. Large bowel obstruction may eventually cause metabolic acidosis due to impaired perfusion and tissue hypoxia, not alkalosis.

D. Back pain is not a typical sign of large bowel obstruction; the primary symptom is abdominal discomfort, distention, and constipation.

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Correct Answer is C

Explanation

Rationale:
A. 59% dextrose in lactated Ringer’s is not a standard solution and would be hypertonic and unsafe.
B. 0.45% sodium chloride does not provide the glucose necessary to prevent hypoglycemia.
C. 10% dextrose in water (D10W) is correct. If TPN runs out, a dextrose-containing solution should be administered to prevent hypoglycemia until the next TPN bag is available.
D. Lactated Ringer’s does not provide sufficient glucose to maintain blood sugar during TPN interruption.

A. Jaundice B. Hepatic encephalopathy C. Ascites D. Regular exercise

Correct Answer is ["A","B","C"]

Explanation

Rationale:

A. Decompensated cirrhosis impairs the liver’s ability to process bilirubin, leading to yellowing of the skin and eyes.

B. Accumulation of ammonia and other toxins due to liver dysfunction can cause confusion, altered level of consciousness, and asterixis.

C. Fluid shifts into the peritoneal cavity occur due to low albumin levels and portal hypertension, causing abdominal distention.

D. While beneficial for overall health, exercise is not a clinical manifestation of cirrhosis.

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What is a likely finding in the nurse's assessment of a patient who has a large bowel obstruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Which of the following is a clinical manifestation of decompensated cirrhosis? (select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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