The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?
Fecal impaction
Incisional infection
Health care-associated Clostridium difficile
Paralytic ileus
The Correct Answer is D
Choice A reason: Fecal impaction typically presents with the inability to pass stool and may not be associated with the absence of bowel sounds.
Choice B reason: Incisional infection is usually indicated by localized redness, warmth, and possible discharge, not necessarily by the absence of bowel sounds or flatus.
Choice C reason: Health care-associated Clostridium difficile often presents with diarrhea, not the absence of bowel sounds or flatus.
Choice D reason: Paralytic ileus is characterized by impaired intestinal motility and transit, absence of the passage of flatus, diminished bowel sounds, abdominal distension, and intestinal dilatation, fitting the symptoms described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Consuming alcohol as a coping mechanism for stress, especially before work, is concerning and unprofessional for a healthcare provider, as it can impair judgment and performance.
Choice B reason: Seeking advice from friends before asking someone out is a common social behavior and not typically a cause for concern.
Choice C reason: Taking deep breaths to manage anxiety is a healthy coping strategy and is not a cause for concern.
Choice D reason: Studying late into the night might indicate a high level of dedication or poor time management, but it is not inherently concerning unless it leads to chronic sleep deprivation.
Correct Answer is ["B","C","E","F"]
Explanation
Choice A reason: Forming new relationships easily is not typically associated with PTSD.
Choice B reason: Chemical dependency can be a coping mechanism for those with PTSD.
Choice C reason: Feelings of low self-esteem are common in individuals with PTSD.
Choice D reason: Social integration is not a symptom of PTSD; rather, individuals may struggle with social interactions.
Choice E reason: Flashbacks are a hallmark symptom of PTSD, where individuals relive the traumatic event.
Choice F reason: Irritability is a common symptom of PTSD, often due to heightened arousal and anxiety.
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