Fundamentals Question #36

Question

A client who had surgery 4 days ago reports no bowel movement since the morning of the procedure. What intervention can the nurse complete without a health care provider prescription?

Answers

  1. Encourage to increase fluid intake and to ambulate.
    • Rationale:
  2. Increase the IV fluids from 100 mL per hour to 200 mL per hour.
    • Rationale:
  3. Administer a soap suds enema.
    • Rationale:
  4. Give a dose of Imodium.
    • Rationale:

Overview

Explanation

The correct answer is A. The nurse can independently encourage the client to increase fluids and ambulate which will help with constipation. The nurse cannot increase IV fluids without a prescription from the health care provider. The nurse cannot administer any kind of enema without a prescription from the health care provider. Imodium is a medication that helps diarrhea not constipation. This would only compound the problem and cannot be given without a prescription from the health care provider.

Learning Outcomes

Test Taking Tip

Video Rationale