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A patient who recently underwent abdominal surgery is complaining of severe abdominal pain and has a distended abdomen. Which of the following interventions should the nurse do first?

Apply a warm compress to the abdomen.

Administer prescribed pain medication.

Perform an abdominal assessment.

Notify the physician immediately.

Answer and Explanation

The Correct Answer is C

A. A warm compress is not appropriate for an unclear abdominal issue.

B. Pain medication should be given after determining the cause.

C. The nurse must assess before taking action to identify possible complications (e.g., bowel obstruction).

D. The physician should be notified after an assessment.

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Correct Answer is B

Explanation

A. The diagnosis is not necessarily complex.

B. Nursing diagnoses should be objective and free from judgment. "Laziness" is subjective and inappropriate.

C. No legal issue is present, but professionalism is lacking.

D. The issue is more about the judgmental phrasing than missing data.

A. The patient reports increased pain and limited range of motion B. The patient experiences frequent falls and difficulty maintaining balance C. The patient is able to independently walk with a walker D. The patient has difficulty ambulating without assistance

Correct Answer is C

Explanation

A. Increased pain and frequent falls indicate unmet outcomes.
B. Frequent falls indicate unmet outcomes.
C. This demonstrates progress toward independence in mobility.
D. Difficulty ambulating shows ongoing impairment.

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A patient who recently underwent abdominal surgery is complaining of severe abdominal pain and has a distended abdomen. Which of the following interventions should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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