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Bahar18 Bahar18
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A month ago
The medical team is concerned that a patient's gut may be injured. Which assessment findings would the nurse interpret as supporting that concern? (Select all that apply.)
1. The patient's bowel sounds are greatly diminished.
2. The patient has diarrhea.
3. Tube feeding residuals are increasing.
4. The patient's creatinine is elevated.
5. The patient is jaundiced.
Textbook 

High-Acuity Nursing


Edition: 6th
Authors:
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studymitestudymite
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A month ago
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More questions for this book are available here
The answer is 1, 2, 3
Rationales:
1. Diminished bowel sounds may indicate that an ileus is developing. Development of an ileus occurs with gut injury.
2. Diarrhea may result when the gut is injured because of the inability to resorb liquids.
3. An increase in tube feeding residuals would indicate that the patient is not absorbing tube feeding. This may result from gut injury.
4. An elevation of creatinine is associated with renal failure.
5. Jaundice is related to injury to the liver.
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