Difficulty: Medium
Average Score: 78%
Simulated
The client reports mid-abdominal pain rated as 7 on a scale of 1 to 10. The client states, 'I haven't had a bowel movement in 4 days and have vomited once or twice.' Which of the following should the nurse do first?
Correct answer
D
Rationale
Severe pain with constipation and vomiting suggests a possible bowel obstruction, requiring immediate provider evaluation.