Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care

Category - Medical Surgical

Start a Study Session Sign up for Question of the Day

Forty-eight hours after a nephrectomy, a client complains of increasing nausea and abdominal pressure. The nurse's first nursing action is to:

  1. Change the client's position to relieve abdominal pressure
  2. Auscultate bowel sounds
  3. Insert a rectal tube to relieve flatus
  4. Administer morphine SO4, 6 mg, as ordered for the relief of discomfort
Explanation

Answer: B - Auscultate bowel sounds. Though nausea may occur following the administration of narcotics, if it is accompanied by the absence of bowel sounds and upper abdominal distention, gastric or small-intestine dilation should be suspected and the nurse's findings reported to the physician.

Previous Next
Was this helpful? Upvote!
Login to contribute your own answer or details
Start a Study Session Sign up for Question of the Day

Top questions

Related questions

Most popular on PracticeQuiz