A Patient Returned from a Laparoscopic Nissen Fundoplication for Hiatal

question 43

Multiple Choice

A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4 hours ago.Which assessment finding is most important for the nurse to address immediately?

• A) The patient is experiencing intermittent waves of nausea.
• B) The patient complains of 7/10 (0 to 10 scale) abdominal pain.
• C) The patient has absent breath sounds in the left anterior chest.
• D) The patient has hypoactive bowel sounds in all four quadrants.

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Definitions:

Logical Information-Processing

A cognitive approach that describes how humans think, reason, and make decisions based on logical operations and rules.

Unconscious Drive

Deep-seated desires and motivations that influence human behavior and thought processes, often without the individual's conscious awareness.

Prefrontal Cortex

The front part of the frontal lobe in the brain, crucial for executive functions such as decision making, social behavior, and personality.

Reticular Activating System

A network of neurons located in the brainstem that plays a crucial role in regulating arousal and sleep-wake transitions.