Pre-op, intra-op, Post-op Care exam 1-4 Complete questions and answers with verified quiz

Two days after colectomy for an abdominal mass, the patient reports gas pains and abdominal distension. The nurse plans care for the patient on the basis of the knowledge that these symptoms occur as a result of which condition? 1 Constipation 2 Nasogastric suctioning 3 Slowed gastric emptying 4 Inflammation of the bowel at the anastomosis site - ANSWER-Correct3 Until peristalsis returns to normal after anesthesia, the patient may experience slowed gastric motility, leading to gas pains and abdominal distension. Colectomy does not require a nasogastric tube; the bowel should not be inflamed following surgery unless infection is present. Constipation may occur following surgery; however, with bowel manipulation, slowed gastric emptying is the most common reason for gas pains and abdominal distention because of gas. A patient with a history of psychosis has newly developed anxiety and is combative with the nurse. What does the nurse know may be causes of this change in behavior? 1 Delirium 2 Excessive sleep 3 Hyperoxygenation 4 Electrolyte imbalances - ANSWER-Correct4 The nurse knows electrolyte imbalances can cause an acute change in a patient's behavior. A new onset of anxiety and combativeness may cause delirium rather than the other way around. Sleep deprivation, not excessive sleep, would cause anxiety and aggression. Hyper