The nurse understands that paralytic ileus is a possible ...

[LaDunn]

The nurse understands that paralytic ileus is a possible postoperative complication. Which assessment provides the nurse with information about this postoperative complication?
 
  a. Auscultating for bowel sounds every 4 hours
  b. Checking blood pressure while sitting and standing
  c. Observing the patient's performance of leg exercises
  d. Palpating the suprapubic region for distention

Question 2

When teaching the patient and family about CISC, why is it important for the nurse to teach about the signs and symptoms of complications?
 
  a. Although rare, complications are always severe.
  b. It is part of the process; complications almost never occur.
  c. Urinary complications are common with CISC.
  d. The only major complication is infection.

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Answer to Question 1

A
Paralytic ileus can develop as a common complication after bowel or abdominal surgery. Intestinal motility may return slowly, depending on anesthetic effects. Assess for bowel
sounds and flatus every 4 hours. A blood pressure check has little to do with paralytic ileus and is an assessment done before ambulation. Leg exercises may help prevent venous stasis and thrombosis, but observing them will not help you to detect a paralytic ileus. Palpation of the suprapubic region is part of the assessment for bladder distention.

Answer to Question 2

C
Urinary complications are common in patients who use CISC. Verbalization of signs and symptoms of complications helps patients identify potential problems early and seek appropriate care. Signs and symptoms of complications of CISC include urinary tract infection (UTI) and urethral trauma and bleeding.