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 A
Explanation
Choice A reason: Keeping the environment warm can help prevent the vasoconstriction that can exacerbate PAD symptoms.
Choice B reason: Resting with the legs above heart level is not typically recommended for PAD as it can reduce arterial blood flow to the legs.
Choice C reason: Applying a heating pad is not recommended for clients with PAD because they may have decreased sensation and could suffer burns.
Choice D reason: Wearing antiembolic stockings during the day can help improve circulation, which is beneficial for clients with PAD.
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