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mayslee97 mayslee97
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6 years ago
During the postoperative assessment of a client who had an appendectomy 36 hours ago, the nurse is unable to hear any bowel sounds. The client denies passing flatus. What action by the nurse is indicated?
 
  1. Encourage the client to increase fluid intake to promote peristalsis
   2. Encourage the client to increase solid food intake to promote peristalsis
   3. Withhold food and fluid intake until intestinal motility has returned
   4. Encourage the client to slow the amount of oral intake
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wrote...
6 years ago
3. Withhold food and fluid intake until intestinal motility has returned

Rationale:
After abdominal surgery, the risk of a paralytic ileus exists. An ileus results when the bowel is not experiencing peristalsis. Oral intake must be withheld during this time.
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