A nurse is caring for a client who is 16 hr postoperative and is experiencing abdominal gas pains. Which of the following actions should the nurse take?
Encourage the client to use an incentive spirometer.
Assist the client with ambulation.
Provide the client with low-fiber food.
Administer pain medication to the client.
The Correct Answer is B
A. Using an incentive spirometer is important for improving lung function and preventing atelectasis, but it does not directly address abdominal gas pains.
B. Assisting the client with ambulation is the best action to alleviate abdominal gas pains. Walking helps stimulate peristalsis and can promote the passage of gas, reducing discomfort.
C. Low-fiber food is not recommended for managing abdominal gas pains postoperatively. In fact, high-fiber foods can help prevent constipation and promote bowel movement, which is beneficial for relieving gas.
D. Administering pain medication may be appropriate if the client is in significant pain, but addressing the underlying cause of the pain (gas) by encouraging ambulation is more effective for long-term relief.
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Related Questions
Correct Answer is B
Explanation
A. While IV fluids are important to prevent renal failure due to myoglobin release, the priority action is to assess for any immediate life-threatening issues, such as cardiac arrhythmias, which are common after electrical shock.
B. Obtaining an ECG is the first priority because electrical shock can cause cardiac arrhythmias, including life-threatening ones like ventricular fibrillation. Immediate monitoring of the heart's electrical activity is critical to assess the need for intervention.
C. Changing dressings is important for wound care, but it is not the priority action. The client’s immediate survival depends on monitoring and stabilizing the heart.
D. Administering pain medication is important for comfort but should not be the first priority. The focus should be on stabilizing the client and addressing any immediate life-threatening issues.
Correct Answer is A
Explanation
A. Colonics (or colon cleansing) can be contraindicated for clients with diverticulitis. The procedure may cause irritation or perforation of the colon, which can worsen the condition. The nurse should advise against this therapy for clients with diverticulitis.
B. Guided imagery is a non-invasive relaxation technique that can help manage stress and discomfort. It is generally safe for clients with diverticulitis and can be beneficial in reducing pain or anxiety.
C. Acupuncture is a form of complementary therapy that involves inserting thin needles into specific body points. It may help alleviate pain and symptoms of various conditions, including diverticulitis, and is typically safe when performed by a trained practitioner.
D. Saw palmetto is an herbal remedy used for prostate issues, and while it may have some mild side effects, it is generally not contraindicated for diverticulitis. However, the nurse should assess for any other potential interactions or contraindications based on the client's overall health.
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