A nurse is assessing a client who is postoperative following orthopedic surgery.
Which of the following findings should the nurse identify as an indication of paralytic ileus?
Watery stool.
Dizziness.
Abdominal distention.
Oliguria.
The Correct Answer is C
Choice A rationale:
Watery stool is not indicative of paralytic ileus. Paralytic ileus is a condition characterized by the inhibition of bowel peristalsis, leading to symptoms such as abdominal distention, constipation, and lack of bowel sounds.
Choice B rationale:
Dizziness is not a specific symptom of paralytic ileus. Dizziness can be caused by various factors and is not directly related to the gastrointestinal condition.
Choice C rationale:
Abdominal distention is the correct choice. Paralytic ileus often presents with abdominal distention due to the accumulation of gas and fluids in the intestines. This distention can cause discomfort and a visible increase in the size of the abdomen.
Choice D rationale:
Oliguria, a decreased urine output, is not a typical symptom of paralytic ileus. It is more indicative of kidney-related issues or dehydration rather than gastrointestinal problems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Incorrect. Obesity is not a contraindication for acupuncture.
B. Incorrect. Hypothyroidism is not a contraindication for acupuncture.
C. Incorrect. Hypertension is not a contraindication for acupuncture.
D. Correct. Herpes zoster (shingles) involves a reactivation of the varicella-zoster virus and can cause skin lesions. Acupuncture involves the insertion of needles through the skin, which could potentially worsen the condition or lead to the spread of the virus.
Correct Answer is C
Explanation
A.The client should be positioned on the unaffected side after the procedure, not the affected side.
B.The client is usually seated upright and leaning forward during a thoracentesis, not placed in the prone position.
C.Correct. Instructing the client to avoid coughing during the procedure is important to prevent accidental puncture of the lung.
D.Thoracentesis does not typically require NPO status, as it is not a procedure involving the gastrointestinal tract.
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