Exam 3 Chapter 47 GI

After teaching a group of students about intestinal obstruction, the instructor determines that the teaching was effective when the students identify which of the following as a cause of a functional obstruction? Volvulus Intussusception Tumor Abdominal surgery

Abdominal surgery

What is the most common cause of small-bowel obstruction? Hernias Neoplasms Adhesions Volvulus

Adhesions

What is the primary nursing diagnosis for a client with a bowel obstruction? Deficient fluid volume Deficient knowledge Acute pain Ineffective tissue perfusion

Deficient fluid volume

A nurse is caring for a client with cardiac disease. The client asks the nurse which medication is best for help with regular bowel movements. What is the best response by the nurse? Docusate Magnesium hydroxide Bisacodyl Mineral oil

Docusate

A client is admitted to the medical unit with a diagnosis of intestinal obstruction. When planning this client's care, which of the following nursing diagnoses should the nurse prioritize? Ineffective Tissue Perfusion Related to Bowel Ischemia Imbalanced Nutrition: Less Than Body Requirements Related to Impaired Absorption Anxiety Related to Bowel Obstruction and Subsequent Hospitalization Impaired Skin Integrity Related to Bowel Obstruction

Ineffective Tissue Perfusion Related to Bowel Ischemia

A 35-year-old male client presents at the emergency department with symptoms of a small bowel obstruction. In collaboration with the primary provider, what intervention should the nurse prioritize? Insertion of a nasogastric tube Insertion of a central venous catheter Administration of a mineral oil enema Administration of a glycerin suppository and an oral laxative

Insertion of a nasogastric tube

A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes? Preventing infection Maintaining skin and tissue integrity Preventing nausea and vomiting Maintaining fluid and electrolyte balance

Maintaining fluid and electrolyte balance

Vomiting results in which of the following acid-base imbalances? Metabolic alkalosis Metabolic acidosis Respiratory acidosis Respiratory alkalosis

Metabolic alkalosis

A client's large bowel obstruction has failed to resolve spontaneously and the client's worsening condition has warranted admission to the medical unit. Which of the following aspect of nursing care is most appropriate for this client? Administering bowel stimulants as prescribed Administering bulk-forming laxatives as prescribed Performing deep palpation as prescribed to promote peristalsis Preparing the client for surgical bowel resection

Preparing the client for surgical bowel resection

A nurse is reviewing lab results for a client with an intestinal obstruction, and infection is suspected. What would be an expected finding? leukocytosis; elevated hematocrit; low sodium, potassium, and chloride leukopenia, decreased hematocrit; low sodium, potassium, and chloride leukocytosis; metabolic alkalosis; elevated sodium, potassium, and chloride leukopenia; metabolic acidosis; elevated sodium, potassium, and chloride

leukocytosis; elevated hematocrit; low sodium, potassium, and chloride

A nurse is performing focused assessment on her clients. She expects to hear hypoactive bowel sounds in a client with: paralytic ileus. Crohn's disease. gastroenteritis. complete bowel obstruction.

paralytic ileus.

What symptoms of perforation might the nurse observe in a client with an intestinal obstruction? Select all that apply. sudden, sustained abdominal pain abdominal distention sudden drop in body temperature intermittent, severe pain

sudden, sustained abdominal pain abdominal distention