Paralytic ileus is a possible postoperative complication. To ...

[Mollykgkg]

Paralytic ileus is a possible postoperative complication. To assess for this, the nurse should:
 
  A. Auscultate for bowel sounds every 4 hours
  B. Check the blood pressure while sitting and standing
  C. Observe the client's performance of leg exercises
  D. Palpate the suprapubic region for distention

Question 2

For clients with a clean stage II ulcer, the nurse elects to use a dressing of:
 
  A. Adherent film
  B. Telfa pads
  C. Composite film
  D. Calcium alginate

[234sdffa]

Answer to Question 1

A
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.
B. Perform assessment before ambulation.
C. This is postoperative activity.
D. This is assessment for bladder distention.

Answer to Question 2

C
C. Composite film limits shear and facilitates healing through reepithelialization; it is suggested for use on a clean stage II ulcer.
A. Adherent film facilitates the softening of eschar and is used on stage IV ulcer with eschar.
B. Telfa pads are not suggested for stage II pressure ulcers.
D. Calcium alginate is used on stage III and IV ulcers that have significant exudates; it is highly absorbent.

[Mollykgkg]

TY

[234sdffa]

You're welcome