Two days after a total pelvic exenteration, a nurse auscultates the client's abdomen and does not hear bowel sounds. What is the nurse's best first action?
A. Document the finding as the only action.
B. Position the client on the right side.
C. Irrigate the nasogastric tube.
D. Measure abdominal girth.
A
Absence of bowel sounds 2 days after total pelvic exenteration surgery is an expected finding that should be documented. No intervention specific to this finding is needed.
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When assessing a client from a culture different from that of the nurse, which of the following is an effective approach to meet the goal of cultural sensitivity?
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When planning care for children, the nurse knows which of the following factors has the largest impact but is not able to be altered to influence the growth and development of children?
A) Environment B) Genetics C) Socialization D) Family