The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?
a. Flank pain
b. Fecal vomiting
c. Watery diarrhea
d. Occult blood in the stool
ANS: B
As a bowel obstruction becomes more extreme, peristaltic waves reverse, propelling the intestinal contents toward the mouth, eventually leading to fecal vomiting. A. Flank pain is not associated with a bowel obstruction. C. Watery diarrhea would not be present with a bowel obstruction. D. Occult blood in the stool is not present with a bowel obstruction.
You might also like to view...
After teaching a client who has a new colostomy, the nurse provides feedback based on the client's ability to complete self-care activities. Which statement should the nurse include in this feedback?
a. "I realize that you had a tough time today, but it will get easier with practice." b. "You cleaned the stoma well. Now you need to practice putting on the appliance." c. "You seem to understand what I taught you today. What else can I help you with?" d. "You seem uncomfortable. Do you want your daughter to care for your ostomy?"
A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has 6 diarrhea stools the first day. Which action should the nurse plan to take?
a. Slow the infusion rate of the tube feeding. b. Check gastric residual volumes more frequently. c. Change the enteral feeding system and formula every 8 hours. d. Discontinue administration of water through the feeding tube.
The ____________ is often the key source of data in qualitative research
a. interview b. observation c. intervention d. experiment
Which route of medication administration is the most dangerous way to administer drugs?
A. SC B. IM C. IV D. PO