A client with major burn over 20% of the body has abdominal distention. The nurse suspects the client might have a paralytic ileus due to:
1. a lack of intestinal motility.
2. infection.
3. decreased food intake.
4. capillary leaks.
Answer: 1
1. Following a major burn, fluids shift and intestinal motility decrease, which can cause a paralytic ileus.
2. A paralytic ileus is not due to infection.
3. The client with a major burn will be receiving nutrition via the IV route and will not be eating.
4. Capillary leaks that occur cause damage to the immune system.
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