In the ICU setting, clients who develop shock need thorough head-to-toe assessments
Which of the following clinical manifestations would alert the health care provider that the client may be developing ischemia associated with gastrointestinal redistribution of blood flow?
A) Gastric bleeding
B) Nausea and vomiting
C) Irritable bowel syndrome
D) Copious high-volume diarrhea
Ans: A
Feedback:
In shock, there is widespread constriction of blood vessels that supply the gastrointestinal tract, causing a redistribution of blood flow that severely diminishes mucosal perfusion. Bleeding is a common symptom of gastrointestinal ulceration caused by shock, with onset usually within 2 to 10 days after the original insult. Nausea is unrelated to ischemic damage; irritable bowel syndrome is stress related. With ischemia, the bowel ceases to function, causing a lack of peristalsis and no fecal output.
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