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 pancreatitis?

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, surgical drainage may be necessary.

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 as part of a postoperative plan of care for clients undergoing a surgical intervention.

Maintain the ordered drain suction pressure and system integrity as part of a postoperative plan of care for clients undergoing a surgical intervention.

Record the output amount from the drain and describe the character of the drainage as part of a postoperative plan of care for clients undergoing a surgical intervention.

Provide meticulous skin care and dressing changes, and assess for further deterioration of the tissue as part of a postoperative plan of care for clients undergoing a surgical intervention.

Collaborate with an enterostomal therapist (ET) for measures to promote skin integrity as part of a postoperative plan of care for clients undergoing a surgical intervention.

Peritonitis is caused by contamination of the peritoneal cavity by bacteria 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 patients with peritonitis.

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

The patient is a 65-years-old man who sustained a neck injury during a fall. He has a medical diagnosis of anterior cord syndrome and a nursing diagnosis of Disturbed Sensory Perception. The nurse assesses the patient expecting to observe which type of motor and sensory findings below the level of injury?

The patient with a cervical neck injury is able to spontaneously move the legs when attempting to move himself in bed, but he is not using or moving his arms or hands. What is this observation consistent with?

The patient involved in a high-speed motor vehicle accident with sustained multiple injuries and active bleeding is transported to the emergency departement by ambulance with immobilization devices in place. There is a high probability of cervical spine fracture; the patient has altered mental status and extremities are flaccid. What is the priority assessment for this patient?

The emergency departement nurse is assessing and monitoring the patient with a gunshot wound to the middle of the back. Because the patient is at risk for spinal shock, what does the nurse monitor for?

Which neurologic assessment technique does the nurse use to test the patient for proprioceptive function?

The patient with an upper spinal cord injury is at risk for autonomic dysreflexia. Which nursing diagnosis is the priority for this patient?

The nurse is caring for the patient with a recent spinal cord injury (SCI). Which intervention does the nurse use to target and prevent the potential SCI complication of autonomic dysreflexia?

What is the potential adverse outcome of autonomic dysreflexia in the patient with a spinal cord injury?

After suffering an SCI, the patient develops autonomic dysfunction, including a neurogenic bladder. Which nursing diagnosis is the priority for this condition?

The nurse and the nursing assistant are working together to bathe and reposition the patient who is in a halo fixator device. Which action by the nursing student causes the supervising nurse to intervene?

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

The patient with an SCI has paraplegia and paraparesis. The nurse has identified a nursing diagnosis of Impaired Physical Mobility. The nurse assesses the calf area of both legs for swelling, tenderness, redness, or possible to the patient’s increased risk for which condition?

The nurse is caring for the patient who has been in a long-term care facility for several months following an SCI. The patient has had issues with urinary retention and subsequent overflow incontinence, and a bladder retraining program was recently initiated. Which is an expected outcome of the training program?

Paralysis of lateral gaze indicates a lesion of cranial nerve

A primary brain injury is caused by

A 16 year-old football player is confused after being struck in the head by another player. He states he does not remember much of what happened, just waking up in the hospital about two hours after being hit. This client most likely is suffering from:

The nurse is education a group of 7 year old children on preventing brain injury. One of the most important things to tell them is to:

A client is admitted to the intensive care unit following a fall down a flight. Upon assessment, the client responds only to pain by withdrawing his hand, and he curses frequently. Using the Glassgow Coma Scale, the nurse rates this patient as a:

A common medication given to help decrease ICP is:

The most important nursing diagnosis when caring for a client with an open skull fracture is

The consensual pupillary response is tested by:

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

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

The nurse is assessing several patients using the GCS. Which factors indicate the most serious neurologic presentation based on the GCS information?