Two hours after abdominal surgery, the nurse auscultates the client's abdomen. No bowel sounds are present. What is the nurse's best first action?
A. Position the client on the right side with the bed flat.
B. Check the dressing and apply an abdominal binder.
C. Palpate the bladder and measure abdominal girth.
D. Document the finding as the only action.
D
Absence of bowel sounds 2 hours after abdominal surgery is an expected finding that should be documented. No intervention specific to this finding is needed at this time.
You might also like to view...
A community health nurse is involved in a screening program for lead exposure. The nurse would target this program primarily to which age group?
A) Birth to 1.5-year-olds B) 1.5- to 3-year-olds C) 3- to 5-year-olds D) 5- to 7-year-olds
________________ is judging a person or a situation before all the facts are available
ANS:
The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should be raised to:
a. 20 degrees. b. 45 degrees. c. 90 degrees. d. 30 degrees.
The uterine cycle refers to changes that occur in the endometrial lining of the uterus. In which phase of this cycle does the corpus luteum begin to produce progesterone?
A) Menstrual B) Proliferative C) Secretory D) Ischemic