Exhibits Review H and P, nurse's note, flow sheet, and orders. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
Potential condition Opioid-induced constipation The client’s report of no bowel movement since surgery, along with the use of morphine for pain management, suggests opioid-induced constipation. Opioids are known to slow down gastrointestinal motility. Actions to Take: Administer a stool softener Stool softeners can help ease bowel movements by softening the stool, which is a common intervention for constipation, particularly opioid-induced. Ask the client about ambulation Encouraging ambulation is an effective way to stimulate gastrointestinal motility and reduce the risk of constipation. Parameters to Monitor: Fluid intake Adequate hydration is crucial for maintaining proper bowel function, especially when using stool softeners or other constipation treatments. Intraabdominal pressure Monitoring intraabdominal pressure can help assess for severe constipation or potential complications, such as bowel obstruction.