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.

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Correct Answer is ["A","B","C","D"]

Explanation

A. The procedure to be performed. The surgical consent form must clearly state the procedure that will be performed so the patient understands what they are agreeing to.

B. The need for the procedure. The patient should be informed about the reason for the procedure to understand the necessity of the surgery.

C. Time and date signed. The time and date the consent is signed must be documented to confirm that the consent was given prior to surgery.

D. The related risks and benefits of the procedure. Informed consent requires that the risks and benefits of the procedure be explained to the patient to ensure they understand what they are consenting to.

E. Marital status. Marital status is not relevant to the informed consent process. The form should focus on the surgery details, not personal information unrelated to the procedure.

A. Elective B. Emergency C. Palliative D. Reconstructive

Correct Answer is B

Explanation

A. Elective. Elective surgeries are planned in advance and are not urgent. Removing a bullet from the neck is not an elective procedure; it is necessary to treat an acute injury.

B. Emergency. The removal of a bullet from the neck is considered an emergency surgery. It is typically performed to address immediate life-threatening injury or to prevent further complications, such as damage to vital structures.

C. Palliative. Palliative surgeries are performed to relieve symptoms or improve quality of life in patients with terminal illnesses. Removing a bullet from the neck is not a palliative measure, as it is intended to treat an acute physical injury.

D. Reconstructive. Reconstructive surgeries aim to restore function or appearance after trauma, but removing a bullet is not primarily reconstructive. The goal here is to treat the immediate injury and prevent further harm.

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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

The nurse explains that the informed surgical consent form should include information relative to: (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

The patient requires surgery to remove a bullet from his neck. This surgery is classified as:

Correct Answer is B

Explanation

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