A woman had a cesarean birth 2 hours ago. She now complains of ...

[vinney12]

A woman had a cesarean birth 2 hours ago. She now complains of being hungry and wants something to eat. What action by the nurse is best?
 
  A.
  Assess for bowel sounds and ask if she is passing gas.
  B.
  Inform the woman that she can't eat until her bowels move.
  C.
  Order her a meal high in carbohydrates.
  D.
  Provide her with a medical liquid diet.

Question 2

A woman is 1 day post-cesarean birth. The nurse auscultates crackles in her lung bases. Which action by the nurse is best?
 
  A.
  Call respiratory therapy for a breathing treatment.
  B.
  Facilitate the woman having a chest x-ray.
  C.
  Have the woman use her incentive spirometer.
  D.
  Notify the provider and document the findings.

[SamMuagrove]

Answer to Question 1

ANS: A
Until bowel function returns following a cesarean birth, the patient should only be offered ice chips and small sips of water. The nurse assesses for return of bowel function by listening for bowel sounds and asking the woman if she is passing gas. The other actions are not appropriate.

Answer to Question 2

ANS: C
Rales are not uncommon postoperatively and indicate atelectasis. The nurse should have the woman use her spirometer, cough, and deep breathe. The other interventions are not warranted.