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Exam (elaborations)

NU271 Case Study – Constipation (2025/2026) | Post-Op Assessment, GI Meds, Enemas, Therapeutic Communication | Nursing

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This fully solved NU271 case study explores a postoperative constipation scenario, with NCLEX-aligned Q&A covering nursing assessment, psychosocial integrity, medication administration, and risk management. Designed for the 2025/2026 academic year, the document presents a realistic case involving a client three days post-abdominal hysterectomy who develops abdominal bloating, nausea, and constipation. Key content includes: GI Assessment Sequence: Proper abdominal assessment order (inspection, auscultation, percussion, palpation), interpretation of hypoactive bowel sounds, and identification of peristalsis issues Therapeutic Communication: Strategies for supporting anxious or distressed clients post-surgery using validating and open-ended responses Pharmacological Interventions: Use of bisacodyl suppository and docusate sodium, administration techniques (e.g., Sim's position, relaxation breathing), and documenting outcomes Constipation Management: Fluid intake, early ambulation, effects of opioids like morphine on bowel function, dietary fiber, and education Invasive Procedures & Delegation: Nurse-led rectal exams, vagal nerve response (bradycardia), and appropriate delegation boundaries with UAPs Enema Administration: Managing cramping with clamp control and flow rate, evaluating effectiveness, and client education on fluid measurements (cups/mL conversion) This resource is essential for students in med-surg, fundamentals, pharmacology, or maternal post-op nursing courses, offering critical thinking practice and real-world nursing application. Keywords: postoperative constipation, abdominal assessment, hypoactive bowel sounds, bisacodyl, docusate sodium, digital rectal exam, enema administration, therapeutic communication, Sim's position, opioid side effects, vagal response, fiber intake, fluid measurement conversion, NU271, NCLEX case study, nursing care plan

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Uploaded on
November 17, 2025
Number of pages
13
Written in
2025/2026
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NU271 Case Study: Constipation (week
11) 2025/2026 Exam Questions and
Correct Answers | New Update



Meet the Client - 🧠 ANSWER ✔✔A client on the medical surgical unit had

an abdominal hysterectomy three days ago and is now reporting abdominal

bloating, pain, and nausea. She is reluctant to eat or drink anything stating,

"The smell of food makes me nauseated." She informs the nurse that she

feels constipated and has not passed a bowel movement since prior to

surgery.


Health Promotion and Maintenance - 🧠 ANSWER ✔✔The nurse observes

the client's abdomen is firm and distended. The nurse performs an

abdominal assessment.

, In which sequence should the nurse perform the abdominal assessment? -

🧠 ANSWER ✔✔Inspection, auscultation, percussion, palpation.


-

Percussion and palpation can alter abdominal findings, so inspection and

auscultation are indicated prior to percussion and palpation.

Which assessment is most important for the nurse to perform? - 🧠

ANSWER ✔✔Auscultate bowel sounds.


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The subjective data reported by the client (bloated and nauseated) and

objective data gathered by the nurse (abdomen firm and distended)

suggest that she may have decreased peristalsis. This can be assessed by

auscultation of the bowel sounds.

Which is the most important action for the nurse to perform when assessing

bowel sounds? (Select all that apply.) - 🧠 ANSWER ✔✔Listen for up to 5

minutes when auscultating for bowel sounds. (The nurse must listen for up

to 5 minutes before determining what type of bowel sounds are present.)

-

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