Question

question 91
1 pts
an adult patient reports intermittent, crampy abdominal pain with vomiting. the provider notes marked abdominal distention and hyperactive bowel sounds. what will the provider do initially?
admit the patient to the hospital for consultation with a surgeon
obtain upright and supine radiologic views of the abdomen
prescribe an antiemetic and recommend a clear liquid diet for 24 hours
schedule the patient for a barium swallow and enema

Explanation:

The patient's symptoms (intermittent crampy abdominal pain, vomiting, abdominal distention, hyperactive bowel sounds) may indicate a bowel obstruction. Initial imaging with upright and supine radiologic views of the abdomen is a key first - step to help diagnose or rule out obstruction before more invasive or specialized procedures. Admitting to hospital for surgeon consultation may be premature without initial imaging. Prescribing an antiemetic and clear - liquid diet may not address the underlying cause. Barium swallow and enema are more invasive and not the first - line initial diagnostic step.

Answer:

B. Obtain upright and supine radiologic views of the abdomen