Exhibits

The nurse is reviewing the chart. select  the condition from the choices below to fill in each blank in the following sentence. Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing

and

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.

Potential condition
Opioid-induced constipation

The client’s report of no bowel movement since surgery, along with the use of morphine for pain management, suggests opioid-induced constipation. Opioids are known to slow down gastrointestinal motility.

Actions to Take:

Administer a stool softener

Stool softeners can help ease bowel movements by softening the stool, which is a common intervention for constipation, particularly opioid-induced.

Ask the client about ambulation

Encouraging ambulation is an effective way to stimulate gastrointestinal motility and reduce the risk of constipation.

Parameters to Monitor:

Fluid intake

Adequate hydration is crucial for maintaining proper bowel function, especially when using stool softeners or other constipation treatments.

Intraabdominal pressure

Monitoring intraabdominal pressure can help assess for severe constipation or potential complications, such as bowel obstruction.

A. This statement reflects a misunderstanding of the diagnosis. Acute stress disorder (ASD) does not mean the client is "crazy." ASD is a normal reaction to an abnormal situation, and it is important for the nurse to clarify that mental health diagnoses do not equate to losing control or being "crazy." Follow-up teaching should focus on reducing stigma and providing accurate information about the diagnosis.

B. This statement is generally accurate, as many individuals may experience similar symptoms after a traumatic event. Normalizing the client's feelings can help reduce isolation and encourage engagement in treatment, so no follow-up teaching is needed here.

C. This statement is correct; individuals with ASD are at increased risk for developing post-traumatic stress disorder (PTSD) if their symptoms persist. The nurse can confirm this information and discuss monitoring for ongoing symptoms.

D. This statement is appropriate, as holistic approaches such as meditation can complement traditional treatment for anxiety and stress. The nurse should encourage the use of these techniques and provide resources if necessary.

E. This statement requires follow-up teaching, as it may promote a negative outlook on treatment. While some individuals may need long-term medication, many people can successfully manage their symptoms through therapy and may not require lifelong medication. The nurse should discuss the importance of reevaluation and ongoing assessment of the need for medication.

F. This statement is accurate and encourages proactive engagement in treatment. Cognitive-behavioral therapy and other therapeutic techniques can help the client manage distressing thoughts, so no follow-up teaching is necessary.