The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?
"Listening to your bowel sounds is just part of the physical assessment, so it's nothing you need to worry about. It will only take me a few minutes to listen; then I'll let you rest."
"Your surgeon has written orders to assess your abdomen every 4 hours. I'm sorry if it worries you, but I must do my job."
"General anesthesia puts everything to sleep, including the bowel, so it is important to determine when bowel sounds have returned."
"We listen so we can let your surgeon know your gastrointestinal system wasn't damaged by the anesthesia."
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A The supine position is not suitable for administering an enema as it does not facilitate proper flow and retention of the solution.
Choice B High Fowler's position is not the best option for enema administration, as it might cause discomfort and hinder proper administration.
Choice C Semi Fowler's position is also not the best option for enema administration, as it may not allow the solution to flow effectively.
Choice D The Sims position, with the patient lying on the left side with the right knee flexed, allows the enema solution to flow downward by gravity and improves retention. It is the best position for enema administration.
Correct Answer is D
Explanation
Choice A The supine position (lying flat on the back) is not suitable for administering an enema as it does not facilitate proper flow and retention of the solution.
Choice B High Fowler's position (sitting upright at a 90degree angle) is not appropriate for enema administration, as it might cause discomfort and hinder proper administration.
Choice C Semi Fowler's position (sitting at a semiupright angle) is also not the best option for enema administration, as it may not allow the solution to flow effectively.
Choice D The Sims position, with the patient lying on the left side with the right knee flexed, allows the enema solution to flow downward by gravity and improves retention. It is the best position for enema administration.
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