The patient who has had an incarcerated hernia for many years begins to experience abdominal pain and vomit dark material with a fecal odor. The nurse recognizes these signs as indications of:
a. intestinal obstruction.
b. ruptured bowel.
c. gastroenteritis.
d. duodenal ulcer.
A
Flow of bowel content is blocked by incarceration, causing bowel obstruction with its attendant signs and symptoms of vomiting fecal contents and pain from ischemia and distention of the bo-wel.
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The nurse weighs a patient at the same time of day with the same scale and same clothing. What is this a simple and accurate method of determining?
a. An accurate weight b. Water balance c. Adequate nutrition d. Urinary output
A client with fistula secondary to Crohn's disease is being treated with a course of glucocor-ticoids. For which complication of this treatment is the client at risk?
A. Constipation B. Hypoglycemia C. Dyspnea D. Sepsis
Which should the nurse include in the plan of care for a pediatric client diagnosed with otitis media with effusion? Select all that apply
1. Administration of antibiotic drops per order 2. Administration of pain relief measures 3. Assessment of hearing acuity over several months 4. Assessment of speech 5. Assessment of development
A newborn is at GREATEST risk for meconium aspiration if he or she:
A) is large for his or her gestational age. B) requires positive-pressure ventilations. C) has respiratory depression at the time of birth. D) is born at more than 42 weeks' gestation.