A client had surgery yesterday and is reporting abdominal discomfort and lack of appetite. The nurse auscultates the abdomen and does not detect bowel sounds. The nurse suspected which type of bowel obstruction?
Volvulus
Paralytic ileus.
Surgical adhesions/scar tissue
Intestinal hernia.
The Correct Answer is B
A paralytic ileus is a type of bowel obstruction characterized by the impairment or absence of normal bowel motility. It occurs due to the temporary paralysis or dysfunction of the muscles that propel food and waste material through the intestines. After surgery, paralytic ileus can occur as a result of the handling of the intestines during the procedure, the effects of anesthesia, or the body's response to inflammation and trauma.
The absence of bowel sounds is a key indicator of paralytic ileus. Normally, bowel sounds are present and indicate the movement of contents through the intestines. However, in a paralytic ileus, the bowel sounds may be diminished or absent due to the lack of peristalsis (wave-like contractions that move food along the digestive tract).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Weight gain is a positive indicator of improved nutritional status. It suggests that the client is receiving adequate nutrition and their body is able to build up and retain weight. This is particularly important in the case of protein-calorie malnutrition, as it indicates that the client is receiving sufficient protein and calories to support their nutritional needs.
Correct Answer is D
Explanation
Aspiration refers to the inhalation of gastric contents or other substances into the respiratory tract. During surgery, when the patient is under general anesthesia, the protective airway reflexes may be suppressed, increasing the risk of aspiration. If stomach contents enter the lungs, it can lead to aspiration pneumonia, respiratory distress, and other complications.
While myocardial infarction (MI), hernia, and cerebral vascular accident (CVA) are possible complications that can occur during surgery, they are not specifically related to airway issues.
MI is a cardiac event involving the blood supply to the heart muscle, hernia refers to the protrusion of an organ or tissue through an abnormal opening, and CVA refers to a disruption of blood flow to the brain. These complications can have various causes but are not directly related to the airway during surgery.
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