A patient learns that a small bowel obstruction was caused by an appendectomy 5 years ago. How would the nurse explain this development to the patient?
1. "The infection in your appendix should have been treated earlier.".
2. "Abdominal surgery sometimes results in adhesion or scarring of tissues that can result in bowel obstruction.".
3. "You must have had an undiagnosed femoral hernia at the time of your appendectomy.".
4. "The surgeon did not irrigate your abdomen adequately when you had your appendectomy.".
2
Rationale 1: An untreated infection would have resulted in peritonitis.
Rationale 2: In adults, adhesions develop following abdominal surgery or inflammatory processes. Adhesions usually produce a simple obstruction or single blockage in one portion of the intestine.
Rationale 3: There is inadequate information provided to support the possibility of femoral or umbilical hernia.
Rationale 4: There is no information to support this statement; it is also libelous.
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