Question

Please answer

1. A nurse is caring for a 60-year-old female that underwent a hysterectomy and is post op day 2. She has no active bowel sounds and has not passed any gas. CT scan completed shows no volvulus or intussusception found. Which of the following the suspect the patient is experiencing?

1. Perforated colon
2. Mechanical bowel obstruction
3. Normal findings given surgical procedure
4. Non-mechanical bowel obstruction

2. A nurse cares for a patient with chronic hypercortisolism. What action would the nurse take to prevent infection?

1. Wash hands when entering the room
2. Keep the patient in airborne isolation
3. Observe the patient for signs of weight gain
4. Access the patient’s daily chest X Ray

3 The nurse knows that which of the following is a therapeutic response to hydrocortisone for Addisonian crisis?

1. Weight gain
2. No signs of pitting edema
3. Increased urine output
4. Client is alert and oriented with improved lethargy

Answer 1

1.d.Non mechanical bowel obstruction.

non-mechanical obstruction is also referred to as ‘ileus’ or ‘paralytic ileus’, this is when the natural movement of the bowel called peristalsis fails to happen. Ileus is usually temporary causedby hysterectomy surgery.

2.C.observe the patient for signs of weight gain.

In patients with hypercortisolism nurse must observe the signs of weight gain due to fluid retention.

3.client is alert and oriented with improved lethargy.