The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

Measure abdominal girth every shift.

Diet: Soft.

0.9% NSS 1000 mL at 125 mL/hr.

Morphine 1 mg IV every 4 hours as needed for abdominal pain.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

Measuring abdominal girth every shift helps monitor for increased abdominal distension, which can indicate worsening bowel obstruction or potential complications such as bowel perforation or ischemia. Regular monitoring is crucial to detect changes early.

Choice B rationale

A soft diet is inappropriate for someone with a suspected bowel obstruction, as solid foods can exacerbate the blockage. The standard recommendation is usually to keep the patient NPO (nothing by mouth) to prevent further obstruction.

Choice C rationale

Administering 0.9% NSS at 125 mL/hr helps maintain adequate hydration and electrolyte balance, which is vital in a patient with a bowel obstruction who cannot take oral fluids. This intervention prevents dehydration and electrolyte imbalances.

Choice D rationale

Morphine for pain management is appropriate as it helps alleviate severe abdominal pain associated with bowel obstruction. However, its use should be monitored carefully, as opioids can reduce gastrointestinal motility and potentially worsen the obstruction.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Walking 30 minutes a day, three times a week, promotes cardiovascular health, helps maintain a healthy weight, and can improve bowel function. Regular physical activity is recommended to prevent constipation, which can be particularly beneficial for someone recovering from a hemorrhoidectomy. This activity also improves overall well-being.

Choice B rationale

Taking a stool softener in the morning helps prevent constipation by ensuring that bowel movements are easy to pass. This is crucial for someone who has undergone a hemorrhoidectomy to avoid straining during defecation, which can exacerbate pain or cause complications in the healing process.

Choice C rationale

Giving oneself enemas twice a day is not recommended after a hemorrhoidectomy. Frequent enemas can irritate the rectal area, disrupt natural bowel habits, and potentially cause injury or infection. It contradicts the standard postoperative care advice aimed at promoting gentle bowel movements.

Choice D rationale

Increasing fluid intake throughout the day is beneficial for preventing constipation. Adequate hydration helps soften stools and makes them easier to pass. This practice is particularly important after a hemorrhoidectomy to avoid straining and to promote healing and comfort.

A. Normoactive. B. Absent or hypoactive. C. Hyperactive. D. Borborygmi.

Correct Answer is B

Explanation

Choice B rationale

After an open cholecystectomy, bowel sounds are typically absent or hypoactive due to the effects of anesthesia and the manipulation of the intestines during surgery. It takes time for normal bowel function to resume.

Choice A rationale

Normoactive bowel sounds are not expected immediately after abdominal surgery due to the temporary paralysis of intestinal motility caused by anesthesia and surgical manipulation.

Choice C rationale

Hyperactive bowel sounds are uncommon after surgery. They are more often associated with conditions like gastroenteritis or bowel obstruction rather than the immediate postoperative period of an open cholecystectomy.

Choice D rationale

Borborygmi, or loud, rumbling bowel sounds, are not expected after abdominal surgery. These sounds can indicate increased bowel activity, which is not typical in the immediate postoperative phase following an open cholecystectomy.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An elder adult client has been successfully treated for a hemorrhoidectomy. Upon discharge, which statements made to the nurse by the client demonstrate an understanding of teaching? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:

Correct Answer is B

Explanation

A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?

After having bariatric surgery, a client being discharged tells the nurse, "I prefer to be independent. I'm not interested in joining a support group.”. Which response by the nurse is best?

The nurse understands that the most complete explanation of obesity is that it is the result of:

Urinary tract infections associated with indwelling catheters are a major component of hospital-associated infections. What must nurses do to help decrease the incidence of these infections in their clients? (SELECT ALL THAT APPLY)

The client, hospitalized with an exacerbation of ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication can't be given orally. The nurse's best response would be:

Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?

A client with a history of PUD is admitted to a medical-surgical unit with pyloric obstruction. The nurse caring for this client knows to monitor for the following symptoms: (SELECT ALL THAT APPLY)

A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis. The healthcare practitioner prescribes the IV antibiotic ceftazidime. After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?