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. Positioning with legs and rectum lower than the stomach is not recommended and may not relieve gas or discomfort.

B. Ambulation helps stimulate peristalsis and the passage of gas, which can relieve discomfort from abdominal distension and flatus.

C. Using a straw can increase air swallowing, which may worsen gas and abdominal discomfort.

D. Cold liquids may slow down digestion and peristalsis, potentially worsening abdominal distension.

Correct Answer is ["1.5"]

Explanation

To calculate the volume of morphine injection required to administer a dose of 15 mg when the available concentration is 10 mg/mL, the nurse should use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Plugging in the values, the calculation would be: Volume (mL) = 15 mg / 10 mg/mL. This simplifies to 1.5 mL.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?

Correct Answer is B

Explanation

A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.5"]

Explanation

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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?