Difficulty: Medium
Average Score: 79%
Full-length
The nurse is caring for a client who is postoperative day 2 following a cholecystectomy. The client reports nausea and has not had a bowel movement since surgery. Which of the following actions should the nurse take FIRST?
Correct answer
D
Rationale
assessment of bowel sounds is the first step to determine if there is a postoperative ileus or other complication