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 D
Explanation
Gabapentin (Neurontin) is often used to treat neuropathic pain, including pain associated with peripheral neuropathy. It may also be used to manage other types of chronic pain, such as pain associated with fibromyalgia. While gabapentin is primarily an anticonvulsant medication, it is also used off-label for various other conditions, such as mood disorders and anxiety.
Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]
Explanation
Lithotripsy and Encourage increased fluid intake are the most important interventions.
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