The nurse is monitoring a patient recovering from an emergency appendectomy.
Which finding is most concerning?

Absence of bowel sounds

A centimeter spot of bloody drainage on the dressing

Abdomen rigid on palpation

Pain at the operative site .

Answer and Explanation

The Correct Answer is C

Choice A rationale
Absence of bowel sounds can be a normal finding post-operatively and is not necessarily a cause for concern.
Choice B rationale
A small amount of bloody drainage on the dressing is not uncommon after surgery and is not typically a cause for concern.
Choice C rationale
A rigid abdomen on palpation is a concerning finding after an appendectomy. It could indicate peritonitis, a serious infection of the abdominal cavity that can occur if the appendix burst before or during surgery.
Choice D rationale
Pain at the operative site is expected after an appendectomy. However, severe or increasing pain could indicate a complication and should be evaluated by a healthcare provider.

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Correct Answer is A

Explanation

Choice A rationale
Limiting the intake of fluids during meals can help prevent dumping syndrome after a gastrectomy. Drinking fluids during meals can speed up gastric emptying, leading to a rapid release of glucose into the bloodstream and causing symptoms of dumping syndrome.
Therefore, it’s recommended to drink fluids between meals rather than with meals.
Choice B rationale
Maintaining a high Fowler’s position during meals is not typically recommended to prevent dumping syndrome. This position does not have a significant impact on the speed of gastric emptying.
Choice C rationale

Urinating after a meal does not help prevent dumping syndrome. Dumping syndrome is related to the speed of gastric emptying, not urinary habits.
Choice D rationale
Consuming high-carbohydrate foods can actually exacerbate dumping syndrome. High- carbohydrate foods can cause a rapid increase in blood glucose levels, followed by a rapid drop, leading to symptoms of dumping syndrome.

A. Maintain bed rest for 48 hr following surgery. B. Irrigate the nasogastric tube every 4 to 8 hr. C. Encourage hourly use of an incentive spirometer while awake. D. Perform leg exercises every 2 hr.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale
Maintaining bed rest for 48 hours following surgery is a common practice to allow the body to heal and recover.
Choice B rationale

Irrigating the nasogastric tube every 4 to 8 hours is necessary to maintain patency and prevent blockage.
Choice C rationale
Encouraging hourly use of an incentive spirometer while awake can help prevent postoperative complications such as pneumonia and atelectasis.
Choice D rationale
Performing leg exercises every 2 hours is not typically included in the plan of care for a client who had surgery for a bowel obstruction and has a nasogastric tube in place.

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The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding is most concerning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to a client who has undergone a gastrectomy. Which strategy should the nurse include in the teaching to help prevent dumping syndrome?

Correct Answer is A

Explanation

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place.Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding is most concerning?

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The nurse is monitoring a patient recovering from an emergency appendectomy.
Which finding is most concerning?