The nurse determines that interventions to prevent postoperative const

The nurse determines that interventions to prevent postoperative constipation have been effective in a client recovering from surgery. What did the nurse assess to make this clinical decision?

1. Abdominal distention present.
2. Gas pains present.
3. Client vomiting.
4. Bowel movement occurred 24 hours after resuming a normal diet.

ANSWER

Correct Answer: 4
Rationale 1: Abdominal distention is an indication of postoperative constipation.
Rationale 2: Gas pain is an indication of postoperative constipation.
Rationale 3: Vomiting is an indication of postoperative constipation.
Rationale 4: A bowel movement that occurs within 48 hours after resuming a normal diet is evidence that postoperative constipation has been prevented.