A client recovering from a small bowel resection is experiencing gas and abdominal distention. The nurse should plan care for the client based on the knowledge that postoperative gas pain occurs as a result of:
1. inflammation of the bowel at the site of the anastomosis.
2. impaired peristalsis.
3. hyper-motility of the bowel.
4. nasogastric suctioning.
Answer: 2
1. Inflammation at the anastomosis site causes pain.
2. The effect of anesthesia and manipulation of the bowel decrease peristalsis, causing gas and distention postoperatively. Bowel motility will be decreased.
3. The effect of anesthesia and manipulation of the bowel decrease peristalsis, causing gas and distention postoperatively. Bowel motility will be decreased.
4. The NG tube does not cause the gas, but is needed until bowel motility resumes.
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