Difficulty: Medium
Average Score: 92%
Simulated
Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?
Correct answer
D
Rationale
Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding. Urine specific gravity of 1.035 suggests dehydration, which is concerning but less urgent. Colicky pain is expected in bowel obstruction, and mild hyponatremia (serum sodium 132 mEq/L) is not immediately life-threatening.