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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Answer c is incorrect because hyperthyroidism typically causes hypertension, not hypotension. Answer d is also incorrect because hyperthyroidism typically causes increased, not decreased, deep tendon reflexes. Answer f is incorrect because hyperthyroidism typically causes diarrhea, not constipation.
Correct Answer is C
Explanation
The nurse will discuss using rapid-acting insulin such as Lispro (Humalog) for mealtime coverage in a patient with diabetes who is starting insulin therapy. Rapid-acting insulin begins to work quickly after injection, usually within 15 minutes, and peaks at around 1 hour. This makes it an effective choice for covering the rise in blood sugar that occurs after meals.
Options A, B, and D are all long-acting insulins that are used to provide a basal level of insulin coverage throughout the day but are not appropriate for mealtime coverage.
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