Upon auscultation, the nurse hears borborygmi. This is a change in the patient's condition. The nurse suspects the patient may be experiencing
a. a complete ileus. c. abnormality of blood flow.
b. early intestinal obstruction. d. peritonitis.
B
Hyperactive bowel sounds (borborygmi) that are loud and prolonged are caused by hunger, gastroenteritis, or early intestinal obstruction. Decreased (hypoactive) bowel sounds are symptoms of possible peritonitis or ileus. Bruits are caused by abnormality of blood flow.
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A newborn who is 24 hours old is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse what symptoms made the physician suspect cystic fibrosis
The nurse would reply that the clinical manifestation of cystic fibrosis that is seen first is: 1. Rectal prolapse. 2. Constipation. 3. Steatorrheic stools. 4. Meconium ileus.
A nurse on the burn unit is caring for a patient who has gone into the acute phase of her burn. What would be important for the nurse to monitor the patient for?
A) Hypometabolism B) Hyponatremia C) Hyperkalemia D) Hypoglycemia
Which of the following is not a correct match of a nutrient and its deficiency syndrome?
a. calcium—scurvy b. cyanocobalamin (vitamin B12)—megaloblastic anemia c. thiamine (vitamin B1)—beriberi d. ascorbic acid (vitamin C)—dental disorders
ECG findings in a patient with digoxin toxicity would most likely include:
a. AV heart block b. T wave inversion c. sinus tachycardia d. pointed P waves