The nurse is concerned that a patient recovering from surgery to ...

[tsand2]

The nurse is concerned that a patient recovering from surgery to repair an abdominal aneurysm is developing bowel ischemia. What assessment findings did the nurse use to come to this conclusion?
 
  Select all that apply.
 
  1. diarrhea
  2. obvious bloody stool
  3. abdominal distention
  4. onset of abdominal pain
  5. hyperactive bowel sounds

Question 2

A patient with hypertension weighing 115 kg is advised by the primary healthcare provider to lose 10 of total body weight over the next 6 months. How many lbs. of weight loss per month should the nurse instruct the patient to establish as a goal?
 
  Record your answer rounding to the nearest whole number.

[catron30]

Answer to Question 1

Correct Answer: 1, 2, 3, 4
Manifestations of bowel ischemia include diarrhea, occult or fresh blood in stools, abdominal distention, and abdominal pain. A change in bowel sounds is not a manifestation of bowel ischemia.

Answer to Question 2

Answer: 4 lbs.
The patient weighs 115 kg. To convert this weight into lbs. multiply the weight in kg by 2.2 lbs. or 115  2.2 = 253 lbs. The patient is counseled to lose 10 of total body weight or 253 lbs.  10 = 25.3 lbs. If this weight is to be lost over 6 months, divide the total weight to lose by 6 or 25.3/6 = 4.216 lbs. When rounding to the nearest whole number, the patient should set a goal to lose 4 lbs. per month.