The nurse is caring for a client who has just returned from abdominal surgery. When auscultating the client's abdomen, the nurse does not hear any bowel sounds. Which is the nurse's best ac-tion?
a. Notify the health care provider.
b. Percuss the abdomen.
c. Document the finding.
d. Insert a nasogastric tube.
C
Absent bowel sounds are expected immediately following abdominal surgery. The finding should be noted in the client's record for later reference. The provider does not need to be notified at this time. The nurse should insert a nasogastric tube if ordered by the physician if the ileus persists. Percussion may be performed but may be uncomfortable for the client and will not re-veal the cause of the ileus.
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