The nurse is concerned that a patient recovering from surgery to repair an abdominal aneurysm is developing bowel ischemia. What assessment findings did the nurse use to come to this conclusion?
Select all that apply.
1. diarrhea
2. obvious bloody stool
3. abdominal distention
4. onset of abdominal pain
5. hyperactive bowel sounds
Correct Answer: 1, 2, 3, 4
Manifestations of bowel ischemia include diarrhea, occult or fresh blood in stools, abdominal distention, and abdominal pain. A change in bowel sounds is not a manifestation of bowel ischemia.
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The nurse is taking a health history on an adolescent. What best describes how the chief complaint should be determined?
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