The nurse is performing an abdominal assessment on a patient who just returned from surgery following a colon resection. The nurse identifies that bowel sounds are not audible. Which action by the nurse would be most appropriate?

Ask a peer to validate the results.

Reassess in hours

Document the findings

Neely the healthcare provider.

Answer and Explanation

The Correct Answer is C

A. Ask a peer to validate the results: While confirming findings with a colleague can sometimes be helpful, it is not necessary in this case. Postoperative ileus is common, and the priority is monitoring and documentation.

B. Reassess in hours: The nurse should reassess bowel sounds periodically, but the specific timeframe should be based on hospital policy and clinical judgment. Bowel sounds may be absent for hours to days postoperatively.

C. Document the findings: Documentation is critical as absent bowel sounds are expected after abdominal surgery. However, it should be accompanied by continued monitoring.

D. Notify the healthcare provider: Absence of bowel sounds immediately post-op is not necessarily an emergency. However, if accompanied by other signs (e.g., distention, vomiting, severe pain), notifying the provider would be warranted.

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Correct Answer is ["45"]

Explanation

30g x 10g ×15ml=45ml

Correct Answer is ["25"]

Explanation

Total volume to be infused = 50 mL
Infusion rate = 2 mL/min

Time required = Total volume / Infusion rate
= 50 mL ÷ 2 mL/min
= 25 minutes

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The nurse is performing an abdominal assessment on a patient who just returned from surgery following a colon resection. The nurse identifies that bowel sounds are not audible. Which action by the nurse would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is to administer 30gm of lactulose to a client. The medication is supplied as 10gm/15ml. How many mL would you give to the client.

Correct Answer is ["45"]

Explanation

The nurse is reviewing an order of infuse 12.5 grams of V Albumin to the client. The albumin is dispensed as 12.5 grams in 50 mL bottles and can be infused at 2 mL/minute. How long will it take to administer this dose of Albumin.

Correct Answer is ["25"]

Explanation

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