A nurse who is caring for postoperative clients on a surgical ...

[kamilo84]

A nurse who is caring for postoperative clients on a surgical unit knows that for 24 to 48 hours postoperatively, clients who have undergone general anesthesia may experience:
 
  1. Colitis
  2. Stomatitis
  3. Paralytic ileus
  4. Gastrocolic reflex

Question 2

While undergoing a soapsuds enema, the client complains of abdominal cramping. The nurse should:
 
  1. Immediately stop the infusion
  2. Lower the height of the enema container
  3. Advance the enema tubing 2 to 3 inches
  4. Clamp the tubing

[rosiehomeworddo]

Answer to Question 1

ANS: 3
Any surgery that involves direct manipulation of the bowel temporarily stops peristalsis. This condition, called paralytic ileus, usually lasts about 24 to 48 hours. Colitis is inflammation of the colon. Stomatitis is inflammation of the mouth. The gastrocolic reflex is the peristaltic wave in the colon induced by entrance of food into the stomach. Colitis, stomatitis, and gastrocolic reflex are not caused by anesthetic used during surgery.

Answer to Question 2

ANS: 2
The nurse should lower the container if the client complains of abdominal cramping. Cramping may prevent the client from retaining all of the fluid, which would alter the effectiveness of the enema. If the nurse stops the infusion, the client will not receive all of the fluid, and the enema will be less effective. The nurse may slow the infusion until the abdominal cramping passes. The enema tubing should not be advanced further. The tubing may be clamped temporarily if fluid escapes around the rectal tube. The instillation should be slowed in the instance of abdominal cramping.

[kamilo84]

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[rosiehomeworddo]

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