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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Palliative. Palliative surgery aims to relieve symptoms or reduce the size of a tumor without curing the underlying disease. The patient is having part of the tumor removed to relieve pain.

B. Emergency. Emergency surgery is performed in response to a life-threatening situation, such as trauma or acute illness, not for a metastatic tumor causing pain.

C. Diagnostic. Diagnostic surgery is performed to obtain tissue samples for evaluation (e.g., biopsy) to determine the nature of a disease, not to remove part of a tumor.

D. Curative. Curative surgery aims to remove the entire tumor to eliminate the disease, which is not the case here since only part of the tumor is being removed for symptom relief.

A. irrigate the indwelling urinary catheter. B. notify the surgeon of the findings. C. increase the flow rate of the IV for 10 to 15 minutes. D. apply manual pressure to the patient's bladder.

Correct Answer is B

Explanation

A. Irrigate the indwelling urinary catheter. There is no indication that the catheter is obstructed. Catheter irrigation should only be performed if there is a suspected blockage (e.g., absent urine output, blood clots).

B. Notify the surgeon of the findings. Urine output of less than 30 mL per hour is concerning for decreased renal perfusion, possibly due to hypovolemia or other postoperative complications. The provider should be notified for further evaluation and intervention.

C. Increase the flow rate of the IV for 10 to 15 minutes. Increasing IV fluids may help improve urine output, but it should only be done based on a provider’s order and after assessing the patient’s volume status.

D. Apply manual pressure to the patient's bladder. This action is inappropriate unless the patient has urinary retention, which should be confirmed through assessment before attempting bladder compression

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Shaniqua's patient is going for surgery to remove part of a tumor that has metastasized and is causing pain. What type of surgery is Shaniqua's patient having?

Correct Answer is A

Explanation

A nurse is monitoring the urinary drainage from a patient who returned to the unit a few hours ago from the post anesthesia care unit (PACU) following a surgical procedure. The urine total is 54 mL for the last 2 hours. The most appropriate nursing action is to:

Correct Answer is B

Explanation

While completing the preoperative checklist, a patient who is almost ready for transport to the operating room states that he does not want to remove his wedding band. The nurse should:

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

When performing patient education regarding leg exercises, the nurse would explain that the purpose of the exercises is to

It is very important to monitor the surgical patient's urine output because

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

A patient undergoing preadmission testing before same day surgery asks how long he will remain in the recovery area before being allowed to go home. The nurse's most informative response would be:

When a patient arrives in the PACU with a surgical dressing, an intravenous infusion, and a urinary catheter, the priority action of the nurse is assessment of:

The nurse discovers that the signed operative permit has misspelled the patient's name. The nurse must: