Nokea
Five days after undergoing surgery, a client develops a small-bowel obstruction. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority?
- A. Imbalanced nutrition: Less than body requirements
- B. Acute pain
- C. Deficient fluid volume
- D. Excess fluid volume
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Which of the following definitions best describes diverticulosis?
- A. An inflamed outpouching of the intestine
- B. A noninflamed outpouching of the intestine
- C. The partial impairment of the forward flow of intestinal contents
- D. An abnormal protrusion of an organ through the structure that usually holds it
Correct Answer: B
Rationale: The correct answer is B: 'A noninflamed outpouching of the intestine.' Diverticulosis refers to the presence of small, bulging pouches (diverticula) that can form in the lining of the digestive system, especially the colon. These pouches are typically noninflamed. Choice A is incorrect because it describes diverticulitis, which is the inflammation of these pouches. Choice C is incorrect as it defines bowel obstruction, not diverticulosis. Choice D is incorrect as it refers to a hernia, not diverticulosis.
Which of the following conditions is most likely to directly cause peritonitis?
- A. Cholelithiasis
- B. Gastritis
- C. Perforated ulcer
- D. Incarcerated hernia
Correct Answer: C
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.
Which of the following associated disorders may the client with Crohn's disease exhibit?
- A. Ankylosing spondylitis
- B. Colon cancer
- C. Malabsorption
- D. Lactase deficiency
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Care for the postoperative client after gastric resection should focus on which of the following problems?
- A. Body image
- B. Nutritional needs
- C. Skin care
- D. Spiritual needs
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.