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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
A. A patient who is scheduled for a routine follow-up visit for hypertension management. This is incorrect because this patient is stable and does not require immediate assessment. Routine follow-ups do not take priority over acute conditions.
B. A patient who is receiving antibiotics for a urinary tract infection and is requesting assistance with personal hygiene. This is incorrect because while personal hygiene is important, it is not urgent or life-threatening.
C. A patient who is recovering from an appendectomy and is asking about discharge instructions. This is incorrect because discharge teaching is important but can be scheduled later in the shift when more urgent needs have been addressed.
D. A patient who is complaining of sudden onset chest pain and shortness of breath. This is correct because sudden onset chest pain and shortness of breath can indicate a life-threatening condition such as myocardial infarction or pulmonary embolism. The nurse must immediately assess this patient to determine the cause and initiate emergency interventions if necessary.
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