A nurse is caring for a female client following abdominal surgery. For each potential action, click to specify if the action is indicated or not indicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

• Prepare for insertion of an NG tube: The client is on postoperative day 3 with abdominal distention, hypoactive bowel sounds, and persistent high pain scores, suggesting postoperative ileus. Decompression with an NG tube helps relieve gastric accumulation and prevent vomiting and aspiration. Early NG placement reduces pressure on the bowel and supports symptom improvement until motility returns. • Prepare to administer enteral nutrition: Enteral feeding is contraindicated due to abdominal distention, hypoactive bowel sounds, and suspected ileus. Feeding into a non-functioning gut increases the risk of nausea, aspiration, and worsening distention. • Encourage client to take in oral fluids: The client remains NPO because bowel activity has not returned. Promoting oral fluids could worsen distention and lead to vomiting. Fluids should be avoided until bowel function improves and diet advancement is ordered by the provider. • Provide frequent mouth care: The client is NPO and likely experiencing dry mouth and discomfort, especially with high pain levels and limited oral intake. Regular mouth care maintains mucosal integrity and prevents infections. It also enhances comfort for a client who cannot drink fluids or take food orally while GI motility remains impaired. • Obtain a prescription for a blood transfusion: The hemoglobin and hematocrit values reflect expected postoperative changes and are stable without signs of bleeding. The client shows no tachypnea, hypotension, or decreasing oxygenation, so a transfusion is not necessary. • Hold pain medications until condition resolves: With severe pain rated 8–9/10, analgesia is essential for comfort and to enable mobility. Withholding pain control could impair breathing, mobility, and recovery. Pain medication does not cause postoperative ileus in this context to a degree that justifies withholding it. • Limit the client's movement in the bed: Mobility should be encouraged to stimulate bowel motility and reduce the risk of complications like ileus. Restricting movement would worsen GI stasis and delay recovery. • Obtain a prescription for an antidiarrheal medication: The problem is absent bowel activity rather than diarrhea. Using antidiarrheals would further slow GI motility and worsen the suspected postoperative ileus.