Constipation HESI case study questions with correct answers

Which sequence should the nurse perform the abdominal assessment CORRECT ANSWER Inspection, Auscultation, Percussion, Palpation Which assessment is most important for the nurse to perform? CORRECT ANSWER Auscultate bowel sounds Which is the most important action for the nurse to perform when assessing bowel sounds? CORRECT ANSWER -Listen for up to 5 minutes when auscultating for bowel sounds -Begin auscultation in the right lower quadrant Which assessment finding should the nurse document? CORRECT ANSWER Hypoactive bowel sounds How should the nurse respond? CORRECT ANSWER Tell me what is making you feel so upset Which response by the nurse will encourage continued verbalization by the client CORRECT ANSWER It sounds as if you have had another experience that did not go well Which explanation by the nurse is accurate CORRECT ANSWER Explain to the client the multiple factors that can decrease peristalsis postoperatively, even when the desired surgical outcome is achieved Which postoperative medication is most likely to contribute to constipation CORRECT ANSWER Morphine sulfate, an opioid analgesic What impact does this fluid intake have on Janelle's bowel patterns CORRECT ANSWER This inadequate fluid intake has contributed to her constipation