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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. Temperature and bowel sounds are measurable, making them objective data rather than subjective.

B. These symptoms cannot be measured or observed by the nurse; they are based on the patient's personal experience, making them subjective data.

C. While the cough is subjective, the respiratory rate is measurable and therefore objective. Since the option includes both types of data, it is not the best answer.

D. White blood cell count is objective. Pain rating is subjective, but since this option includes both types of data, it is not the best choice.

A. Involve the multidisciplinary team B. Involve the family members C. Get patient input when making the plan D. Start planning at admission

Correct Answer is C

Explanation

A. While teamwork is crucial, patient input should come first to ensure the plan aligns with their needs and capabilities.

B. Family involvement is beneficial, but the patient should have the primary role in decision-making.

C. Effective discharge planning is patient-centered, ensuring that goals align with their preferences, abilities, and resources.

D. Although discharge planning should begin at admission, the most important factor for success is patient involvement.

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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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