NCLEX RN Practice Question # 907

NCLEX Examination.

Practice Question # 907.

 

nclex examination

 

Paralytic Ileus

Description

  • Paralytic ileus is failure of appropriate forward movement of bowel contents.
  • The condition may occur as a result of anesthetic medications or of manipulation of the bowel during the surgical procedure.

Assessment

  • Vomiting postoperatively
  • Abdominal distention
  • Absence of bowel sounds, bowel movement, or flatus
  • Nursing Interventions
  • Monitor intake and output.
  • Maintain NPO status until bowel sounds return.
  • Maintain patency of a nasogastric tube if in place; assess patency and drainage per agency procedure.
  • Encourage ambulation.
  • Administer IV fluids or parenteral nutrition, as prescribed.
  • Administer medications as prescribed to increase gastrointestinal motility and secretions.
  • If ileus occurs, it is treated first nonsurgically with bowel decompression by insertion of a nasogastric tube attached to intermittent or constant suction.

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