Question

The nurse caring for a patient with a possible bowel obstruction would immediately report which of the following?

a) Passage of gas
b) Absence of abdominal distention
c) Vomiting
d) Normal bowel sounds

Answer 1

c) Vomiting

Vomiting in a patient with a possible bowel obstruction indicates a potential blockage, requiring immediate reporting for timely intervention and prevention of complications.

Step-by-step explanation:

A patient with a possible bowel obstruction experiencing vomiting would require immediate attention and reporting by the nurse. Vomiting in this context could indicate an obstruction preventing the normal passage of contents through the gastrointestinal tract. This symptom is concerning as it suggests a potential blockage in the bowel, leading to the accumulation of gastric contents and subsequent vomiting. Prompt reporting of this symptom is crucial to facilitate timely medical intervention and prevent complications associated with bowel obstructions.

In a bowel obstruction, the normal flow of food, fluids, and gas through the intestines is hindered. When a complete obstruction occurs, the stomach and intestines may become distended, leading to nausea and vomiting. This vomiting is often forceful and may contain bile. Additionally, the inability of the patient to tolerate oral intake can contribute to dehydration and electrolyte imbalances. Therefore, recognizing and reporting vomiting as a symptom is essential for healthcare providers to initiate appropriate diagnostic and therapeutic measures promptly.

The urgency in reporting vomiting as a symptom is emphasized by the potential complications associated with untreated bowel obstructions, such as bowel perforation and ischemia. Timely intervention, including diagnostic imaging and surgical consultation, can improve outcomes for the patient. Hence, the nurse's immediate reporting of vomiting facilitates a prompt and comprehensive assessment, enabling the healthcare team to take appropriate actions to address the potential bowel obstruction and its complications.

Answer 2

In the context of a possible bowel obstruction, a nurse should immediately report vomiting, as it indicates a significant blockage in the digestive system requiring urgent medical attention.

The correct option is c) Vomiting

Step-by-step explanation:

The nurse caring for a patient with a possible bowel obstruction would immediately report vomiting. Vomiting could indicate that the obstruction is preventing the contents of the stomach or intestines from passing normally through the digestive system. This is a serious symptom that requires prompt attention to prevent further complications. Passage of gas and absence of abdominal distention, on the other hand, are positive signs suggesting that the gastrointestinal tract may still be partially functional. Normal bowel sounds do not typically indicate an emergent situation in the context of bowel obstruction.