A patient who had abdominal surgery is complaining of "gas pains" and has distention of the abdomen and flatus. To promote patient comfort, the nurse should advise:
lying supine with knees flexed.
early ambulation
turning to the left side.
drinking fluids that are very hot.
The Correct Answer is B
A. Lying supine with knees flexed. Lying supine with knees flexed is a common position that can help relieve abdominal discomfort by relaxing the abdominal muscles and allowing gas to pass more easily.
B. Early ambulation: Early ambulation promotes the movement of gas through the intestines, which helps relieve bloating and discomfort. Moving helps stimulate peristalsis and reduces the risk of constipation or gas accumulation postoperatively.
C. Turning to the left side. Although turning to the left side may help with digestion, early ambulation is the most effective intervention for promoting the passage of gas and alleviating abdominal distention and discomfort.
D. Drinking fluids that are very hot: Hot liquids may irritate the stomach and intestines and are not a recommended strategy for relieving gas pain. Cool or room-temperature fluids are typically better tolerated postoperatively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.
B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.
C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.
D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.
Correct Answer is A
Explanation
A. Dehiscence: Dehiscence refers to the partial or total separation of the wound's layers, often occurring after surgery, such as when coughing increases intra-abdominal pressure.
B. Laceration: A laceration refers to a tear or break in the skin due to trauma, not a surgical complication.
C. Evisceration: Evisceration occurs when the internal organs protrude through the wound, which is a more severe complication than dehiscence.
D. Autologous: Autologous refers to using a person's own tissues or cells (e.g., blood transfusion), not a wound complication.
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