A patient with suspected intestinal obstruction has abdominal distension, colicky pain and persistent vomiting. Which prescription should the nurse implement first?
Correct answer: B. Keep the patient nil by mouth and prepare gastric decompression
- A. Give an oral laxative to stimulate peristalsis
- B. Keep the patient nil by mouth and prepare gastric decompression
- C. Encourage a high-fibre meal and increased oral fluids
- D. Apply a heating pad and massage the abdomen
Explanation
Keeping the patient nil by mouth and preparing prescribed nasogastric decompression reduces further distension and vomiting while the obstruction is assessed. Laxatives, food and abdominal massage may increase pressure or worsen the obstruction.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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