A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
- A. Administer dilaudid
- B. Notify the physician
- C. Call and ask the operating room team to perform the surgery as soon as possible
- D. Reposition the client and apply a heating pad on a warm setting to the client's abdomen.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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If a client had irritable bowel syndrome, which of the following diagnostic tests would determine if the diagnosis is Crohn's disease or ulcerative colitis?
- A. Abdominal computed tomography (CT) scan
- B. Abdominal x-ray
- C. Barium swallow
- D. Colonoscopy with biopsy
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following definitions best describes gastritis?
- A. Erosion of the gastric mucosa
- B. Inflammation of a diverticulum
- C. Inflammation of the gastric mucosa
- D. Reflux of stomach acid into the esophagus
Correct Answer: C
Rationale: The correct answer is C: 'Inflammation of the gastric mucosa.' Gastritis is characterized by inflammation of the stomach lining, specifically the gastric mucosa. This inflammation can be caused by various factors such as infections, medications, alcohol, or autoimmune diseases. Choice A, 'Erosion of the gastric mucosa,' is incorrect because erosion refers to the wearing away of tissue rather than inflammation. Choice B, 'Inflammation of a diverticulum,' is incorrect because gastritis specifically involves inflammation of the stomach lining, not a diverticulum. Choice D, 'Reflux of stomach acid into the esophagus,' describes gastroesophageal reflux disease (GERD), which is different from gastritis.
Which of the following diets is most commonly associated with colon cancer?
- A. Low-fiber, high fat
- B. Low-fat, high-fiber
- C. Low-protein, high-carbohydrate
- D. Low carbohydrate, high protein
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following laboratory results would be expected in a client with peritonitis?
- A. Partial thromboplastin time above 100 seconds
- B. Hemoglobin level below 10 mg/dL
- C. Potassium level above 5.5 mEq/L
- D. White blood cell count above 15,000
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?
- A. The client passes formed stools at regular intervals
- B. The client reports a decrease in stool frequency and liquidity
- C. The client exhibits firm skin turgor
- D. The client no longer experiences perianal burning
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.