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.