Difficulty: Medium
Average Score: 91%
Simulated
The nurse is caring for an older adult client with an intestinal obstruction and a history of multiple abdominal surgeries. The client is experiencing severe, colicky abdominal pain, nausea, vomiting, and abdominal distention. Which pathophysiologic mechanism supports the client's clinical presentation?
Correct answer
B
Rationale
History of multiple abdominal surgeries increases risk of adhesions (scar tissue), which can cause mechanical small bowel obstruction. Colicky pain, vomiting, distention are classic. Option is correct. A would present with weight loss/masses, with ischemia/peritonitis, unlikely in older adult without prior diagnosis.