Difficulty: Medium
Average Score: 77%
Full-length
Passage / Scenario
A client with a perforated bowel secondary to a bowel obstruction.At the time the diagnosis is made, which of the following should be a priority in the nursing care plan?
Correct answer
C
Rationale
Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) client is kept in semi-Fowler's position (2) not a priority action (3) correct-when the bowel perforates as a result of increased intraluminal pressure within the gut, inTest inal contents are released into the peritoneum, leading to peritonitis (4) should not be done