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?

Paralytic ileus

Incisional infection

Health care-associated Clostridium difficile

Fecal impaction

Answer and Explanation

The Correct Answer is A

A. Paralytic ileus is a common postoperative complication characterized by the absence of bowel sounds, abdominal distention, and failure to pass flatus due to a lack of intestinal peristalsis.

B. Incisional infection would typically present with localized symptoms such as redness, warmth, and purulent drainage at the surgical site, not generalized abdominal distention and lack of bowel sounds.

C. Health care-associated Clostridium difficile infection usually presents with diarrhea, not an absence of bowel sounds or abdominal distention.

D. Fecal impaction is more likely to cause localized pain and possible leakage of liquid stool, rather than complete absence of bowel sounds and severe distention.

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Correct Answer is B

Explanation

A. Constipation is not a common adverse effect of aspirin therapy; gastrointestinal upset or irritation is more likely.

B. Aspirin can increase the risk of bleeding due to its antiplatelet effects. Clients should monitor for signs of bleeding, such as easy bruising, blood in stool, or prolonged bleeding from cuts.

C. Insomnia is not typically associated with aspirin use.

D. Blurred vision is not a common side effect of aspirin, but if visual disturbances occur, the client should report them to their healthcare provider.

A. Low BP and low pulse rate B. High BP and high pulse rate C. Low BP and high pulse rate D. High BP and low pulse rate

Correct Answer is C

Explanation

A. A low blood pressure with a low pulse rate is not typical for hypovolemic shock; a low pulse rate would suggest bradycardia, not commonly seen in hypovolemic shock.

B. High blood pressure and high pulse rate are not characteristic of hypovolemic shock; high blood pressure is not usually associated with this condition.

C. In hypovolemic shock, low blood pressure is accompanied by a high pulse rate as the body attempts to compensate for the reduced blood volume.

D. High blood pressure and low pulse rate are not indicative of hypovolemic shock; this combination is not typical for this type of shock.

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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?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is C

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