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 B
Explanation
A. Encourage frequent ambulation is not appropriate for a client with bacterial meningitis, especially during the acute phase. The client may be experiencing severe headache, fever, and sensitivity to light, and ambulation could worsen these symptoms. Rest and a quiet environment are preferred.
B. Ensure lights are dimmed in the client's room is the correct intervention. Clients with bacterial meningitis often experience photophobia (sensitivity to light), so dimming the lights can help reduce discomfort and create a more comfortable environment.
C. Ensure the client's bed is positioned to greater than 45° is not a standard intervention for bacterial meningitis. While positioning can be important for comfort and airway management, the primary concern in bacterial meningitis is managing infection and symptoms, not positioning.
D. Initiate airborne precautions is not necessary for bacterial meningitis. Bacterial meningitis is typically transmitted through respiratory droplets, so droplet precautions, not airborne precautions, should be implemented.
Correct Answer is C
Explanation
A. Monitoring the client for 15 minutes after receiving each medication dose is typically done for certain medications like vaccines or immunotherapy, but not for the treatment of syphilis. The treatment for primary syphilis is usually penicillin, and there is no need for extended observation unless the client has an allergy or reaction.
B. Antiviral medications are not used to treat syphilis. Syphilis is treated with antibiotics, usually penicillin.
C. Follow-up blood tests are necessary to ensure the syphilis infection has been successfully treated and to monitor for any potential recurrence. Clients with syphilis should have follow-up blood tests at 6, 12, and 24 months after treatment.
D. Cryotherapy is not used to treat syphilis. The primary treatment for syphilis is antibiotic therapy, specifically penicillin, and cryotherapy is typically used for conditions like warts or certain types of lesions, not syphilis.
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