The nurse is caring for a patient who recently had abdominal ...

[pragya sharda]

The nurse is caring for a patient who recently had abdominal surgery. Which assessment finding requires the nurse's immediate attention?
 
  a. Bruising near the surgical incision site
  b. Report of constipation
  c. Abdominal pain of 4/10
  d. Urine output of 20 mL in the last hour

Question 2

The nurse is caring for an 80-year-old long-resident in a term care facility. Which intervention(s) should the nurse plan to enhance blood flow? (Select all that apply.)
 
  a. Apply light blankets over legs while sit-ting.
  b. Elevate legs frequently.
  c. Encourage walking.
  d. Avoid tight compression stockings.
  e. Maintain a warm environment.

[orangecrush]

Answer to Question 1

D
Urine output of 20 mL in an hour is inadequate and could indicate that the patient is not perfus-ing properly. Bruising is a common occurrence after surgery, from small blood vessels leaking blood under the skin after an incision is made. Constipation is normal after abdominal surgery, as anesthesia, surgery, and pain medications slow bowl motility. Abdominal pain of 4/10 may re-quire an analgesic but does not indicate an emergent or urgent finding.

Answer to Question 2

A, B, C, E
Interventions that may enhance blood flow include using light blankets while sitting, elevating legs, encouraging exercise, and maintaining a warm environment. Compression stockings are beneficial.