A patient has abdominal distension, repeated vomiting, severe colicky pain, and no passage of stool or flatus. Which action should the nurse take?

Correct answer: C. Keep the patient fasting and notify the prescriber

  • A. Administer a cleansing enema immediately
  • B. Offer a high-fibre meal and oral fluids
  • C. Keep the patient fasting and notify the prescriber
  • D. Encourage vigorous walking around the ward

Explanation

These findings suggest possible intestinal obstruction, so oral intake and enemas may be unsafe. Keeping the patient fasting and notifying the prescriber supports urgent assessment and prevents worsening of the condition.

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About Elimination and Catheterisation

Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.

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50 free Elimination and Catheterisation MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.

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