Hypovolemia is a common complication of intestinal obstruction.

An obstruction high in the small intestine often results in metabolic acidosis.

Intussusception is twisting of the intestine.

Volvulus is telescoping of a segment of the intestine within itself.

Hypokalemia is the most common electrolyte disturbance that predispose the patient to intestinal obstruction.

Intestinal obstruction due to phytobezoar is a mechanical obstruction.

Ileus is a paralytic or functional variety of obstruction.

In order, the main clinical signs of bowel obstruction include nausea or vomiting, colicky abdominal pain, and blockage of gas or stool.

Nausea and vomiting may be caused from anesthetic agents or narcotics, delayed gastric emptying, slowed peristalsis, resumption of oral intake too soon after surgery.

Which key feature does the nurse most likely find when performing a physical assessment on the patient with a small-bowel obstruction?

Crohn’s disease can cause a mechanical obstruction.

What does nursing care of the patient with intestinal obstruction who reports discomfort in the early diagnostic period consist of?

Which intervention apply to patients with fluid volume deficit related to an intestinal obstruction?

Which observation of the patient with an intestinal obstruction does the nurse report immediately?

Which discharge information does the nurse include for the patient who has had an intestinal obstruction caused by fecal impaction?

The nurse is teaching the patient about colostomy care. Which information does the nurse include in the teaching plan?

Which statement about the care of the patient wiwht a colostomy is correct?

The nurse immediately reports to surgeon all but which sign/symptom related to a colostomy?

After colostomy surgery, which intervention does the nurse employ?

Patients with pancreatitis often have Turner's sign which is a gray-blue discoloration of the abdomen and periumbilical area.

The pain of acute pancreatitis is often described as intense, boring and continuous.

Typically, a patient is diagnosed with acute pancreatitis after presenting with severe abdominal pain in the mid-epigastric area or left upper quadrant.

Abdominal pain is the prominal symptom of pancreatitis.

Anticholinergics are given to increase vagal stimulation, motility and pancreatic flow.

Pain management for acute pancreatitis should begin with rapid infusion of opioids by means of patient-controlled analgesia (PCA)

Helping the patient to assume a supine position decreases the abdominal pain of pancreatitis.

Patients in the early stages of acute pancreatitis are usually maintained on NPO status

What is the priority nursing diagnosis for acute pancreatisis?

Which diagnostic test is the most accurate in verifying a diagnosis of acute pancreatitis?

The patient with acute pancreatitis is at risk for the development of paralytic (adynamic) ileus. Which action provides the nurse with the best indication of bowel function?

Which drug is contraindicated for the patient with paralytic ileus?

The nurse has instructed the patient in the recovery phase of acute pancreatitis about diet therapy. Which statement by the patient indicates that teaching has been successful?

If complications of pancreatitis such as pancreatic pseudocyst and abscess appear may necessitate surgical drainage.

If pancreatitis is caused by biliary tract obstruction, the physician may perform a laparotomy (abdominal exploration) for common bile duct exploration and the release of obstruction.

Monitors drainage tubes for patency by assessing for kinks in the tubes.

Maintain the ordered drain suction pressure and system integrity.

Records the output amount from the drain and describes the character of the drainage.

Provides meticulous skin care and dressing changes, assesses for further deterioration of the tissue.

Collaborate with an enterostomal therapist (ET) for measures to promote skin integrity.

Perittonitis is caused by contamination of the peritoneal cavity by bacterias or chemicals.

Continuous ambulatory peritoneal analysis can cause peritonitis.

White blood cell counts are often decreased with peritonitis.

Abdominal wall rigidity is a classic finding in patient with peritonitis.

The fluid shift that occurs in peritonitis may result in which of following?

The source of inflammation in peritonitis rarely comes from

A rare cause of peritonitis is

Which complication is not due to peritonitis:

The respiratory problems that may accompany peritonitis are aresult of which factor?

Which nursing intervention is part of nonsurgical management for the patient with peritonitis?

What are the cardinal signs of peritonitis?

Which character of abdominal pain is not observed in peritonitis

Which assessment is not priority in diagnostic of peritonitis

Nursing intervention for the patient with peritonitis preoperatively don’t include

Nursing intervention for the patient with peritonitis postoperatively don’t include

The nurse is instructing the patient about home care after an exploratory laparotomy for peritonitis. Which statement by the patient indicates that teaching has been effective?

A patient with a suspected complete transection below T8 presents for assessment. Which findings below the lesion are most consistent with this injury?

A patient with a cervical injury can move legs spontaneously but struggles to use arms and hands when repositioning. Which spinal cord syndrome is most likely?

A trauma patient with suspected cervical fracture arrives with altered mentation and flaccid extremities. What is the immediate priority assessment?

A patient with a mid-back gunshot wound is at risk for spinal shock. Which cluster of signs should be monitored?

Which bedside technique best evaluates proprioception in a neurologic assessment?

In upper spinal cord injury, which nursing diagnosis takes priority due to risk for autonomic dysreflexia?

To prevent autonomic dysreflexia after recent SCI, which intervention targets a common trigger?

What serious complication can autonomic dysreflexia precipitate if not controlled?

A patient with SCI develops neurogenic bladder. Which nursing diagnosis is the immediate priority?

The nurse is caring for several patients with spinal cord injuries. Which task is best to delegate to the nursing assistant?

A patient with a spinal cord injury has paraplegia and paraparesis. Assessing the calves for swelling, tenderness, and redness is most related to increased risk for which condition?

A long‑term care patient with urinary retention and overflow incontinence begins a bladder retraining program. Which is an expected outcome of successful training?

Paralysis of lateral gaze most likely indicates a lesion of which cranial nerve?

A primary brain injury is caused by which mechanism?

A 16‑year‑old football player is confused after being struck in the head and does not remember the event, waking in the hospital two hours later. What is the most likely diagnosis?

When educating 7‑year‑old children on preventing brain injury, which advice is most important to include?

A client admitted after a fall withdraws to painful stimulus and curses frequently. Using the Glasgow Coma Scale, which total score is most consistent with these findings?

Which medication is commonly administered to help decrease intracranial pressure?

For a client with an open skull fracture, which nursing diagnosis is most important?

Which action best prevents autonomic dysreflexia in a patient with high‑level spinal cord injury?

The consensual pupillary response is tested by:

Which factor is most likely to depress nerve cell activity in a patient with a neurologic disorder?

Which statement about the Glasgow Coma Scale (GCS) is correct?

Using the GCS, which presentation indicates the most serious neurologic status?

During neurologic checks every 4 hours after head injury, which early sign indicates decline in neurologic status?

A client is admitted after a head‑on motor vehicle crash. The client is unresponsive, has spontaneous respirations of 22/min, and a bleeding forehead laceration. What is the priority nursing action now?

After surgery for evacuation of a subdural hematoma, which assessment is the highest priority?

Which medication is typically used to reduce increased intracranial pressure by creating an osmotic gradient?

In assessing pupillary responses after head trauma, what finding best demonstrates an intact consensual response?

For a patient with suspected increased intracranial pressure, which nursing intervention helps maintain cerebral perfusion while minimizing further ICP elevation?