ATI Nur 270 Pediatrics GI GU Exam | Nurselytic

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ATI Nur 270 Pediatrics GI GU Exam Questions

Extract:

A child who is postoperative following surgical removal of a Wilms' tumor


Question 1 of 5

A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments should indicate to continue NPO status?

Correct Answer: B

Rationale: The correct answer is B: Absent bowel sounds. Absence of bowel sounds postoperatively may indicate paralytic ileus, a common complication after abdominal surgery. This suggests decreased gastrointestinal motility and potential risk for bowel obstruction if oral intake is resumed too soon. Continuing NPO status allows the bowel to rest and recover.

Choices A, C, and D are not indicators to continue NPO status. Passing flatus and increased abdominal girth indicate return of gastrointestinal function. Pain at the operative site can be managed with appropriate pain medication without necessitating NPO status.

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Question 2 of 5

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