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    HESI RN Med surg adult health proctored exam

    Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

    Explanation & Rationale

    Choice A reason:The correct answer is a) because auscultating bowel sounds can help assess for the return of gastrointestinal function and identify potential complications such as ileus, which can cause abdominal pressure and nausea.Choice B reason: Ambulating the client is important for postoperative recovery but does not directly address the symptoms of abdominal pressure and nausea.Choice C reason: Palpating the abdomen is also important but should be done after auscultation to avoid altering bowel sounds.Choice D reason: Measuring urine output is important for monitoring renal function but does not directly address the symptoms of abdominal pressure and nausea.

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