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You are a nurse in a medical–surgical hospital unit caring for a patient who had an...

You are a nurse in a medical–surgical hospital unit caring for a patient who had an open   cholecystectomy 3 days earlier. Subsequently, the patient developed a parlay tic ileus.   Additional complications require continued postoperative antibiotic infusions.  

a. What nursing assessment finding could indicate the presence of a paralytic ileus?

b. Which medical interventions could have contributed to the development of your patient’s         paralytic ileus?

c. How long would you expect the paralytic ileus to last?

d. In what ways would you expect a paralytic ileus to resolve?

(no hand written please)

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Answer #1

a) Decreased peristalsis and hypoactive bowel sounds.

b) Paralytic ileus is most common following following abdominal surgery.

c) Paralytic ileus last for 2 to 3 days

d) Observation, adequate IV hydration and supportive treatment will resolve the paralytic ileus.

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