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    HESI RN Med surg adult health proctored exam

    A male client is admitted to the emergency department (ED) while vomiting dark brown, foul-smelling emesis. He reports having a surgical repair of a recurrent inguinal hernia a week ago and is troubled by intense abdominal pain. After finding that his bowel sounds are hyperactive, which prescription should the nurse implement first?

    Explanation & Rationale

    Choice A reason: Placing an indwelling urinary catheter is not immediately relevant to the client's symptoms.Choice B reason: Giving an analgesic for a fever does not address the underlying issue of bowel obstruction.Choice C reason: Sending the client to x-ray can help diagnose the issue but is not the first action to relieve symptoms.Choice D reason:The correct answer is d) because inserting a nasogastric tube and attaching it to low intermittent suction helps decompress the stomach and relieve symptoms of bowel obstruction.

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