방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →Severe pain and nausea 2 days post-colectomy are red flags for paralytic ileus or mechanical obstruction. The nurse must follow the nursing process and assess first before intervening.
Perform a focused abdominal assessment: auscultate for bowel sounds (absent in ileus, high-pitched in early obstruction), inspect for distension, and palpate for firmness or guarding.
Do not administer antiemetics or encourage ambulation before assessment, as this can mask a worsening obstruction or perforation. An NG tube is an intervention requiring a provider order based on assessment findings.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.