A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?
Assume position with legs and rectum lower than the stomach.
Drink cold liquids.
Ambulate several times a day.
Use a straw.
The Correct Answer is C
A. Assume position with legs and rectum lower than the stomach.
Explanation: This position helps gas move through the intestines more effectively, relieving abdominal distension and promoting the passage of flatus. It's a commonly recommended position for patients experiencing discomfort due to abdominal gas.
B. Drink cold liquids.
Explanation: Drinking cold liquids might not directly help with abdominal distension and flatus. Warm liquids, on the other hand, can sometimes promote digestion and relieve gas discomfort.
C. Ambulate several times a day.
Explanation: Ambulation or walking encourages movement in the intestines, aiding in the passage of gas. It also promotes overall bowel function and can help prevent postoperative complications like atelectasis and deep vein thrombosis.
D. Use a straw.
Explanation: Using a straw doesn't have a direct impact on relieving abdominal distension or flatus. It's more relevant for patients who might have difficulty drinking directly from a glass due to medical conditions or after certain types of surgeries
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
The stock concentration of famotidine oral solution is 40mg/5ml
The ordered dose is 20mg \).
To find out how many milliliters (mL) of the solution to administer, we can set up a proportion.
40mg/5ml = 20mg/ dose to administer
Cross-multiplying, we get:
40mg * Dose to Administer (mL) = 20mg*5ml
Dose to Administer (mL) = 20mg * 5 mL/ 40mg
Simplifying:
Dose to Administer (mL) = 100/40 ml
Dose to Administer (mL) = 2.5mL
So, the nurse should administer 2.5 mL of the famotidine oral solution per dose.
Correct Answer is C
Explanation
A. Keep the head of the bed elevated at 15 degrees.
This is not sufficient for preventing aspiration and ensuring proper digestion. The head of the bed should be elevated at least 30 degrees to reduce the risk of aspiration and promote better digestion of enteral feedings.
B. Place enough formula in the feeding bag to last for 8 hr of continuous feeding: It is recommended to change the feeding formula and bag every 24 hours. Placing formula for an extended period can increase the risk of bacterial growth.
C. Flush the tube with 30 ml of water every 4 hr: Regular flushing of the tube helps maintain patency, prevents clogging, and ensures proper hydration. Flushing every 4 hours is a standard practice for continuous feeding.
D. Change the feeding bag and tubing every 72 hr: Feeding bags and tubing should be changed more frequently, typically every 24 hours, to reduce the risk of infection.
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