A patient with a suspected intestinal obstruction has worsening abdominal distension. Which finding requires the most urgent notification of the health care provider?
Correct answer: A. A sudden reduction in previously loud bowel sounds
- A. A sudden reduction in previously loud bowel sounds
- B. Mild nausea after the last prescribed antiemetic
- C. Intermittent colicky pain before passing flatus
- D. A dry mouth after several hours without oral fluids
Explanation
A sudden reduction in bowel sounds with worsening distension may indicate progression to ileus, ischemia, or perforation. Mild nausea, colicky pain, and dry mouth can occur with obstruction but are less immediately concerning by themselves.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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