Practice Question
A client is admitted to the nursing unit with complaints of upper abdominal pain across the entire mid-section. Client reports no bowel movement for 5 days. Temperature 99.4 F with complaints of nausea and vomiting and dark emesis. Which client condition is consistent with these assessments?
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Correct Answer:
Small bowel obstruction.
Rationale:
♦️Small bowel obstruction (SBO) presents with cramping upper or mid-abdominal pain, vomiting (which may be dark or feculent), and absence of bowel movement or flatus.
♦️The client’s nausea, vomiting, and dark emesis occur because intestinal contents cannot pass, leading to backflow of bile and partially digested food.
♦️No bowel movement for several days indicates impaired passage of stool due to obstruction proximal to the large intestine.
♦️Bowel sounds are often high-pitched initially and may diminish as obstruction worsens.
♦️The clinical picture rules out appendicitis (localized RLQ pain) and peptic ulcer (epigastric pain only).
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This question is from EXAM #4 UPPER AND LOWER GI FALL 25 CLARK STATE COMMUNITY COLLEGE which contains 47 questions.
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From Exam
EXAM #4 UPPER AND LOWER GI FALL 25 CLARK STATE COMMUNITY COLLEGE
47 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4