/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 478 A client has been admitted with ... [FREE SOLUTION] | 91影视

91影视

Log out

Learning Materials

Features

Discover

Chapter 34: Problem 478

A client has been admitted with a possible bowel obstruction. The nurse completes a head to toe assessment. Which finding should the nurse interpret as inconsistent with a bowel obstruction? A. Vital signs normal B. Vomitus has a fecal odor C. Complains of colicky pain D. Loud rumbling bowel sounds

Short Answer

Expert verified
Loud rumbling bowel sounds are inconsistent with a typical bowel obstruction.

Step by step solution

01

Understand Bowel Obstruction Symptoms

Identify the common symptoms of a bowel obstruction which include the inability to pass gas or stools, frequent vomiting which may have a fecal odor due to the backflow of intestinal contents, abdominal pain which can be colicky (spasmodic) in nature, and altered bowel sounds which might be high-pitched, reduced, or even silent if the obstruction is complete.
02

Compare Symptoms to Answer Choices

Evaluate each answer choice and compare it with the known symptoms of a bowel obstruction. Eliminate the options that are consistent with a bowel obstruction.
03

Identify the Inconsistent Finding

Determine which finding is not typically associated with a bowel obstruction. Loud rumbling bowel sounds, while they may occur in some cases, are typically not consistent with a bowel obstruction, especially when compared with the symptoms mentioned for the other options.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91影视!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Nursing Assessment
In the nursing profession, accurate assessment is the cornerstone of exceptional patient care, particularly when a patient is suspected of having a bowel obstruction. A thorough nursing assessment for a bowel obstruction includes evaluating the patient's history, symptoms, and physical exam findings.
  • History taking should focus on previous abdominal surgery, medications, dietary habits, and the duration of symptoms.
  • The nurse will look for key symptoms such as the inability to pass gas or stools, vomiting, and the nature of abdominal pain.
  • Physical examination includes inspection, palpation, and auscultation of the abdomen to assess for distension, tenderness, and bowel sounds.
Nurses should also monitor vital signs for any abnormalities. Furthermore, they should document and report findings accurately, to ensure that appropriate diagnostic tests and interventions are initiated promptly.
NCLEX-RN Examination
The NCLEX-RN examination is a standardized test that nurses must pass to obtain licensure to practice in the United States. It assesses the knowledge and skills necessary to perform safely and effectively as an entry-level nurse.
  • Questions related to gastrointestinal issues, such as bowel obstructions, test a nurse's ability to recognize symptoms and differentiate between clinical findings.
  • Candidates are expected to apply critical thinking skills to interpret assessment data and make informed decisions regarding patient care.
  • The exam uses various question formats including multiple-choice, select all that apply, and hotspot questions that may involve prioritizing nursing actions and implementing nursing interventions.
Preparing for the NCLEX-RN involves a thorough review of nursing practice areas, including medical-surgical nursing, which covers gastrointestinal disorders like bowel obstructions.
Abdominal Pain
Abdominal pain is a common symptom that can vary greatly in character and intensity based on the underlying cause. In the context of bowel obstruction, pain can be characterized as colicky, due to the intermittent spasming of the bowel as it attempts to push contents past the obstruction.
  • This type of pain often comes in waves and might be temporarily relieved by vomiting or passing a stool.
  • Accurate assessment of abdominal pain involves questioning the patient about the onset, location, duration, intensity, and factors that relieve or exacerbate the pain.
  • It is important to differentiate abdominal pain caused by a bowel obstruction from other causes like inflammation, infection, or ischemic processes.
Understanding the nature of abdominal pain can provide vital clues to healthcare providers in diagnosing and managing a bowel obstruction.
Intestinal Obstruction
Intestinal obstruction is a significant medical condition where there is a blockage that prevents the normal flow of contents through the digestive tract.
  • Obstructions can be mechanical, due to a physical block like a tumor or adhesion, or functional, due to a problem with the nerves or muscles controlling bowel movements.
  • Symptoms often include abdominal distension, nausea, vomiting, constipation, and possibly diarrhea if there is a partial obstruction.
  • On assessment, healthcare providers may find abnormal bowel sounds that can be high-pitched or reduced, depending on the location and severity of the obstruction.
Diagnosis may include imaging studies such as an abdominal X-ray, CT scan, or MRI. Management often requires hospitalization, possible decompression with a nasogastric tube, fluid replacement, and in severe cases, surgery to relieve the obstruction.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A client鈥檚 parenteral antibiotic therapy has been com- pleted. The physician writes orders to discontinue to IV line and discharge the client home. Which is a step the nurse will take when discontinuing the intra- venous line? A. Leave the IV site open to the air. B. Use sterile gloves for catheter removal. C. Remove the catheter and apply an occlusive dressing. D. Use alcohol to prevent infection of the site during removal.

While visiting the area from another state, a client presents to the emergency room with severe pain secondary to a kidney stone. The physician orders an IV line started with \(125 \mathrm{ml}\) per hour of D5 \(1 / 4\) NS and morphine for pain. The client shows the nurse his chest where he states he has a Subcutaneous venous port and asks the nurse to start the IV there. Prior to starting an IV line in this port, the nurse would need to verify that the: A. Brand of subcutaneous port. B. Medications can be given by central line. C. Port internal tip lies in the superior vena cava. D. Intravenous fluids can be administered by central line.

A child has a tonsillectomy. On return to the floor, the child is positioned prone until fully awake. Instructions given to the parents should include: (Select all that apply.) A. Avoid red liquids B. Use a straw to make drinking easier C. Cold liquids like popsicles will feel good. D. Give milk and non-acidic liquids to soothe the throat E. As soon as the child wakes up, start the child drinking

Using the Parkland formula ( \(4 \mathrm{ml}\) of lactated ringer's solution/\% TBSA burn/kg body weight/24 hours), the nurse would calculate fluid replacement for a \(70-\mathrm{kg}\) client with a \(50 \%\) TBSA burn over 24 hours as A. \(1400 \mathrm{ml}\) B. \(14,000 \mathrm{ml}\) C. \(6720 \mathrm{ml}\) D. \(700 \mathrm{ml}\)

Your client has an external fixator to the right lower extremity to stabilize an open fracture of the tibia and fibia with extensive soft tissue damage. The client is complaining of a tingling sensation in the foot. Which is the priority nursing action in response to the client's new complaint? A. Administer pain medication B. Assess pain level using a pain scale C. Notify physician of client's status D. Perform neurovascular assessment
See all solutions

Recommended explanations on Biology Textbooks

Genetic Information

Read Explanation

Astrobiological Science

Read Explanation

Ecosystems

Read Explanation

Cellular Energetics

Read Explanation

Biological Organisms

Read Explanation

Energy Transfers

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.