Question

The initial symptom of abdominal pain described by the patient in which of the following ways would lead the nurse to suspect a small bowel obstruction?

A) Sharp, localized pain on one side of the abdomen
B) Dull, cramping pain that improves with movement
C) Colicky, intermittent pain that is accompanied by vomiting
D) Burning, persistent pain in the upper abdomen

Answer 1

The correct answer is option c. Colicky, intermittent pain accompanied by vomiting would lead a nurse to suspect a small bowel obstruction.

Step-by-step explanation:

Small bowel obstruction (SBO) presents with distinctive symptoms that healthcare professionals, including nurses, carefully assess to identify potential issues. In this context, the description of colicky, intermittent pain accompanied by vomiting is particularly indicative of a small bowel obstruction.

Colicky pain is characterized by spasmodic, cramp-like sensations that come and go in waves. In the case of SBO, this type of pain often reflects the peristaltic contractions attempting to move the obstructed contents through the narrowed passage of the small intestine. The intermittent nature of the pain corresponds to these efforts and the periods of relative relief between contractions.

Furthermore, the association with vomiting is significant. Small bowel obstruction impedes the normal flow of intestinal contents, leading to a buildup of pressure and fluids proximal to the obstruction. This accumulation triggers a reflex response, causing nausea and vomiting. The vomitus may initially contain stomach contents but can later become bilious as the obstruction persists.

Recognizing these symptoms is crucial for prompt intervention and management of small bowel obstruction. Nurses play a vital role in monitoring and assessing patients, helping to guide subsequent diagnostic and therapeutic measures based on the observed clinical manifestations.