On the second postoperative day, a client reports increasing abdominal pain. Assessment findings include a distended abdomen with absent bowel sounds. Which intervention should the nurse anticipate implementing?

Choice A reason: Influenza immunization is unlikely to cause eczema flare-ups, as it targets systemic immunity, not skin allergens. A new dog’s dander is a common trigger, making pet exposure more relevant, per dermatological assessment and eczema management protocols in nursing care.

Choice B reason: Corticosteroid cream treats eczema, reducing flare-ups, not causing them. A new dog’s dander is a likely allergen triggering symptoms. Cream use is therapeutic, per dermatological treatment and eczema exacerbation assessment standards in nursing practice during home visits.

Choice C reason: A grandson’s new pet dog introduces allergens like dander, a common eczema trigger, explaining the recent flare-up. Identifying environmental exposures is critical for pinpointing causes, guiding avoidance strategies, per eczema management and dermatological assessment protocols in nursing care.

Choice D reason: A friend with eczema is unlikely to trigger flare-ups, as eczema is not contagious. A new dog’s dander is a more probable allergen. Social contact is less relevant, per dermatological assessment and eczema trigger identification standards in nursing practice.

Choice A reason: Feeling emptiness reflects depression but is less urgent than access to firearms in suicidal ideation. Firearms indicate immediate risk, requiring safety planning. Emptiness needs therapy but not priority documentation, per suicide risk assessment and mental health nursing protocols.

Choice B reason: Monthly panic attacks are relevant but not the highest priority in suicidal ideation. Firearm access poses an immediate lethal risk, requiring urgent documentation. Panic attacks are secondary, per suicide risk assessment and psychiatric nursing care standards.

Choice C reason: Documenting firearm access is critical, as it indicates a means for suicide in a client with suicidal ideation. This prompts immediate safety interventions, like removing access, to prevent harm, per suicide risk assessment and patient safety protocols in psychiatric nursing.

Choice D reason: The daughter as a reason to live is protective but less urgent than firearm access, which poses immediate risk. Firearms require priority documentation to ensure safety. This is secondary, per suicide prevention and mental health assessment standards in nursing.