A client had surgery yesterday and is reporting abdominal discomfort and lack of appetite. The nurse auscultates the abdomen and does not detect bowel sounds. The nurse suspected which type of bowel obstruction?

Volvulus

Paralytic ileus.

Surgical adhesions/scar tissue

Intestinal hernia.

Answer and Explanation

The Correct Answer is B

A paralytic ileus is a type of bowel obstruction characterized by the impairment or absence of normal bowel motility. It occurs due to the temporary paralysis or dysfunction of the muscles that propel food and waste material through the intestines. After surgery, paralytic ileus can occur as a result of the handling of the intestines during the procedure, the effects of anesthesia, or the body's response to inflammation and trauma.

The absence of bowel sounds is a key indicator of paralytic ileus. Normally, bowel sounds are present and indicate the movement of contents through the intestines. However, in a paralytic ileus, the bowel sounds may be diminished or absent due to the lack of peristalsis (wave-like contractions that move food along the digestive tract).

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Correct Answer is B

Explanation

IBD, which includes conditions such as Crohn's disease and ulcerative colitis, is characterized by chronic inflammation of the gastrointestinal tract. The symptoms can vary depending on the type and severity of the disease, but common symptoms in children with IBD include:

Children with IBD often experience increased frequency of bowel movements, which may be loose or watery. This is often accompanied by urgency and a sense of incomplete evacuation.
Chronic inflammation in the gastrointestinal tract can interfere with nutrient absorption, leading to poor appetite, decreased intake, and subsequent weight loss. In severe cases, malnutrition may occur.
Inflammatory processes in the intestines can lead to increased motility and peristalsis, resulting in hyperactive bowel sounds.

A. Asking for nausea B. Evaluating for sacral redness C. Checking the respiratory rate D. Auscultating bowel sounds

Correct Answer is C

Explanation

Morphine is a potent opioid analgesic that can depress the respiratory system. Respiratory depression is a potential adverse effect of morphine, and it is essential for the nurse to monitor the patient's respiratory rate regularly to ensure adequate oxygenation and prevent respiratory complications.

By checking the respiratory rate, the nurse can assess if the patient is breathing adequately and detect any signs of respiratory depression. If the respiratory rate is significantly decreased or the patient shows signs of respiratory distress (e.g., shallow or irregular breathing), immediate intervention is necessary to address the situation promptly.

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A client had surgery yesterday and is reporting abdominal discomfort and lack of appetite. The nurse auscultates the abdomen and does not detect bowel sounds. The nurse suspected which type of bowel obstruction?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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