A client has returned to the nursing unit after a total abdominal hysterectomy. The nurse auscultates the client's abdomen and does not hear bowel sounds. Which is the nurse's priority intervention?
a. Document the finding in the chart.
b. Position the client on the right side.
c. Irrigate the nasogastric tube.
d. Measure abdominal girth.
A
Absence of bowel sounds for 1 to 2 days after abdominal surgery is an expected finding that should be documented. No intervention specific to this finding is needed.
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