A nurse is caring for a client who is 16 hr postoperative and is experiencing abdominal gas pains. Which of the following actions should the nurse take?
Encourage the client to use an incentive spirometer.
Assist the client with ambulation.
Provide the client with low-fiber food.
Administer pain medication to the client.
The Correct Answer is B
A. Using an incentive spirometer is important for improving lung function and preventing atelectasis, but it does not directly address abdominal gas pains.
B. Assisting the client with ambulation is the best action to alleviate abdominal gas pains. Walking helps stimulate peristalsis and can promote the passage of gas, reducing discomfort.
C. Low-fiber food is not recommended for managing abdominal gas pains postoperatively. In fact, high-fiber foods can help prevent constipation and promote bowel movement, which is beneficial for relieving gas.
D. Administering pain medication may be appropriate if the client is in significant pain, but addressing the underlying cause of the pain (gas) by encouraging ambulation is more effective for long-term relief.
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Related Questions
Correct Answer is C
Explanation
A. Limiting fluids to 1.5 L per day is not appropriate for a client recovering from a sickle cell crisis. Adequate hydration is essential to help prevent further sickling of red blood cells and to promote overall circulation.
B. Avoiding the flu vaccination is incorrect. Vaccination, including the flu vaccine, is recommended for individuals with sickle cell disease to reduce the risk of infections, which can trigger a crisis.
C. Avoiding extremely hot or cold temperatures is important for individuals with sickle cell disease. Extreme temperatures can cause vasoconstriction or vasodilation, which may exacerbate sickling and increase the risk of a crisis.
D. Limiting alcohol intake to one drink per day may be advised for general health, but it is not as directly relevant to managing sickle cell disease. Hydration and avoiding stressors such as extreme temperatures are more critical.
Correct Answer is B
Explanation
A. Flumazenil is an antidote for benzodiazepine overdose, not opioid overdose. The client is receiving morphine, an opioid, so flumazenil is not appropriate.
B. Naloxone is the correct antidote for opioid overdose, including morphine. It works by reversing the effects of opioids, such as respiratory depression and hypotension. Given the client's low respiratory rate and blood pressure, naloxone should be administered immediately to reverse the opioid effects.
C. Acetylcysteine is used for acetaminophen (Tylenol) overdose, not opioid overdose.
D. Protamine sulfate is used to reverse the effects of heparin (an anticoagulant), not opioids. It is not appropriate for this situation.
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