A nurse is caring for a female client following abdominal surgery. Complete the following sentence by using the lists of options. The nurse should plan to first dropdownthendropdown

Rationale for correct choices • encourage the client to ambulate: Early ambulation on postoperative day 3 helps stimulate peristalsis, which is important because the client has abdominal distention, hypoactive bowel sounds, and no bowel movement since before surgery. Ambulation also reduces the risk of ileus and supports faster return of normal GI motility. • reassess the client's pain: After promoting mobility to address delayed bowel activity, reassessing the client’s pain allows the nurse to determine whether symptoms improve with ambulation or if persistent pain suggests complications. Monitoring the pain pattern after an intervention guides further decisions regarding analgesia or notifying the provider. Rationale for incorrect choices • raise the head of the bed: Elevating the head of the bed can improve comfort but does not address the underlying postoperative complication of decreased bowel motility. It offers minimal therapeutic benefit for the client’s abdominal distention and persistent pain on day 3. • encourage oral feeding: Oral intake is not appropriate because the client is NPO and shows signs consistent with delayed gastric motility. Introducing oral feeding without bowel function return increases the risk of nausea, vomiting, and worsening distention. • prepare the client for a blood transfusion: There is no clinical indication for transfusion. The hemoglobin and hematocrit values are from postoperative day 1 and reflect mild expected postoperative anemia rather than acute blood loss. • monitor client for urinary retention: A 12-hour urine output of 800 mL (about 65 mL/hr) shows adequate kidney function and catheter drainage. There are no signs suggesting urinary retention in this client.