A patient reports gas pains and abdominal distention 2 days after a small bowel resection. Which nursing action should the nurse take?
Administer morphine sulfate.
Encourage the patient to ambulate.
Offer the prescribed promethazine.
Instill a mineral oil retention enema.
The Correct Answer is B
Gas pains and abdominal distention are common postoperative complications following small bowel resection. Ambulation is a simple and effective nursing intervention that can help alleviate these symptoms. Walking helps stimulate peristalsis, which can help move gas and stool through the gastrointestinal tract. It can also help prevent postoperative complications such as pneumonia and deep vein thrombosis.
Administering morphine sulfate (option A) may relieve pain, but it can also worsen constipation and abdominal distention. Promethazine (option C) is an antiemetic medication and may be helpful if the patient is experiencing nausea, but it is not the best intervention for gas pain and abdominal distention. Instilling a mineral oil retention enema (option D) may also be helpful in some cases, but it is not typically the first intervention for these symptoms and should be ordered by a healthcare provider.
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Related Questions
Correct Answer is A
Explanation
"Coffee-ground" emesis is a term used to describe vomit that has the appearance of coffee grounds, which indicates that the vomit contains partially digested blood. This is a serious symptom that could be indicative of an upper gastrointestinal bleed. An endoscopy is a diagnostic test that allows healthcare providers to visually examine the upper gastrointestinal tract and identify the source of bleeding.
Barium studies and angiography are not typically used to diagnose upper gastrointestinal bleeds. Gastric analysis may be useful in other diagnostic situations, but it is not the most appropriate test for a patient with "coffee-ground" emesis.
Correct Answer is B
Explanation
Intravenous drug use is a significant risk factor for hepatitis C transmission. The other options are not necessarily related to hepatitis C transmission. However, having a blood transfusion before 1992 or receiving an organ transplant before 1992, having a history of receiving blood products or clotting factor concentrates before 1987, and having been born to a mother with hepatitis C are also considered significant risk factors for hepatitis C transmission.
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