Licensed Practical Nurse (LPN) Exit Practice Exam

Question: 1 / 400

If a client who is NPO after a small bowel resection reports dizziness and tingling in digits, what assessment finding should be reported to the healthcare provider?

Bradycardia and hypotension

Hyperactive bowel sounds on assessment

The correct assessment finding to report to the healthcare provider is the presence of bradycardia and hypotension. After a small bowel resection, a patient who is NPO may be at risk for dehydration or electrolyte imbalances, which can lead to decreased blood volume and result in bradycardia (slow heart rate) and hypotension (low blood pressure). These symptoms can indicate a more serious underlying condition, such as hypovolemic shock or significant fluid and electrolyte loss, which require immediate medical attention.

The other options, while relevant to a patient’s condition, do not represent the same level of urgency. For instance, hyperactive bowel sounds might indicate the return of bowel function after surgery, but this is typically a positive sign rather than a cause for alarm in this context. Increased respiratory rate may be a response to other irritants or discomfort and not necessarily indicate an acute issue requiring immediate intervention. Similarly, a mild temperature elevation could suggest a low-grade fever, which is common in postoperative patients but might not necessitate urgent action unless it is significantly high or accompanied by other concerning signs.

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Increased respiratory rate

Temperature elevation

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