A client had a seminoma removed via an open procedure. The following day, the client's abdomen is soft and nontender, but no bowel sounds are present. Which action by the nurse is most appropriate?
a. Encourage the client to ambulate several times a day.
b. Reassess the client's abdomen in 4 hours.
c. Document the finding and call the surgeon immediately.
d. Give the client a laxative and encourage high-fiber food.
A
Paralytic ileus is a complication of open seminoma removal. However, on the day after a major, lengthy operation, it is common for bowel sounds to still be absent. Narcotic analgesics can di-minish bowel activity. The client can improve peristalsis with increased activity. It is not neces-sary to re-examine the client in 4 hours, nor is it necessary to call the surgeon right away. A laxa-tive probably is not needed yet. The client should eat high-fiber foods when they can be tole-rated.
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