A nurse is caring for a client who is 2 days postoperative following abdominal surgery. The nurse auscultates hypoactive bowel sounds, and the client reports cramping abdominal pain. Which of the following actions should the nurse take first?

A. Request the client to be NPO.: Keeping the client NPO may be necessary if bowel obstruction or severe ileus is suspected, but this action does not immediately promote bowel motility. It is more of a precautionary measure rather than an intervention that addresses the cause of hypoactive sounds. B. Administer a glycerin suppository.: Suppositories stimulate rectal emptying but do not address slowed peristalsis higher in the gastrointestinal tract. Using a suppository when bowel sounds are hypoactive can worsen discomfort if motility is impaired. This option should only be considered once intestinal activity begins to return. C. Offer an analgesic medication.: Although pain control is important, many analgesics—especially opioids—can further reduce bowel motility. Giving them before trying non-pharmacologic interventions may worsen the client’s symptoms. Managing pain should follow after attempts to promote movement of the gastrointestinal tract. D. Ambulate the client in the hallway.: Ambulation is the most effective initial intervention because it stimulates peristalsis and helps resolve postoperative ileus. Movement increases blood flow and activates gastrointestinal muscle activity, which can improve bowel sounds. Early mobility is a priority in postoperative care to restore bowel function.