The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?
Fecal impaction
Incisional infection
Health care-associated Clostridium difficile
Paralytic ileus
The Correct Answer is D
Choice A reason: Fecal impaction typically presents with the inability to pass stool and may not be associated with the absence of bowel sounds.
Choice B reason: Incisional infection is usually indicated by localized redness, warmth, and possible discharge, not necessarily by the absence of bowel sounds or flatus.
Choice C reason: Health care-associated Clostridium difficile often presents with diarrhea, not the absence of bowel sounds or flatus.
Choice D reason: Paralytic ileus is characterized by impaired intestinal motility and transit, absence of the passage of flatus, diminished bowel sounds, abdominal distension, and intestinal dilatation, fitting the symptoms described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Debridement is not related to dosing, which typically refers to medication administration.
Choice B reason: While debridement may involve cleaning dirty wounds, this choice does not fully capture the definition of debridement.
Choice C reason: Debridement is the medical process of removing dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue.
Choice D reason: Infected wounds may require debridement, but this choice does not define what debridement is.
Correct Answer is B
Explanation
Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.
Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.
Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.
Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.
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