The day after surgery, a patient asks a nurse, "Why do the nurses keep listening to my abdomen? That's not where I had surgery." Which of the following responses best answers the patient's question?
"Listening to your bowel sounds is just part of the physical assessment, so it's nothing you need to worry about. It will only take me a few minutes to listen; then I'll let you rest."
"Your surgeon has written orders to assess your abdomen every 4 hours. I'm sorry if it worries you, but I must do my job."
"General anesthesia puts everything to sleep, including the bowel, so it is important to determine when bowel sounds have returned."
"We listen so we can let your surgeon know your gastrointestinal system wasn't damaged by the anesthesia."
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Holding the enema for only 5 minutes may not provide enough time for the mineral oil to soften the stool and facilitate a bowel movement.
Choice B Holding the enema for 60 minutes is unnecessary and can lead to discomfort and difficulty for the patient.
Choice C Holding the enema for only 1 minute is too short for the mineral oil to be effective in softening the stool.
Choice D Encouraging the patient to hold the mineral oil enema for a minimum of 15 minutes allows sufficient time for the oil to work on the stool and improve the chances of a successful bowel movement.
Correct Answer is B
Explanation
Choice A A bowel training schedule is not typically required for patients with an ileostomy, as they have a surgically created opening (stoma) for stool to pass directly out of the body.
Choice B Bowel training can be beneficial for patients with incontinence, as it involves establishing a regular toileting routine to help regain bowel control and prevent accidental bowel movements.
Choice C C. difficile is an infectious condition that affects the gastrointestinal tract, and bowel training may not be the primary intervention for this patient.
Choice D Crohn's disease is a chronic inflammatory bowel disease, and while bowel training may be helpful for some Crohn's patients, it is not the most common intervention for this condition.
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