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A hospitalized pt reports to the nurse he has not had a BM in 2 days. Which intervention should the nurse implement first?

1 Answer

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Final answer:

The nurse should assess the patient's bowel sounds and abdomen first to determine if there is a bowel obstruction or impaction. If there are no signs of obstruction, the nurse can consider other interventions to promote bowel regularity.

Step-by-step explanation:

The nurse should first assess the patient's bowel sounds and abdomen to determine if there is a bowel obstruction or impaction. This can be done by listening for bowel sounds with a stethoscope and palpating the abdomen for any discomfort or distention. If the nurse suspects a more serious condition, such as bowel obstruction, she should notify the healthcare provider immediately for further evaluation and intervention.

If there are no signs of obstruction or impaction, the nurse can consider other interventions, such as providing the patient with a laxative or stool softener, encouraging increased fluid intake, and promoting mobility and ambulation.

It is important to identify any underlying causes of constipation or changes in bowel habits, as well as to provide appropriate treatment and education to prevent further complications and promote bowel regularity.

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