You have a patient with a history of a herniated small bowel. The patient reports he has not been able to push the hernia back in and it is becoming very painful. After a CT scan, the patient is diagnosed with an incarcerated hernia of the small bowel. What is the priority for this patient?

 

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Correct

- Place an NG tube

- Place an OG tube

- Place a rectal flexi seal

- Have the patient bear down

Rationale

Placing an NG is the priority because it decompresses the abdomen, also the patient needs to be NPO until the small bowel can be back in working order. OG tubes are not used on patients that are alert and oriented, only really intubated patients. It is contraindicated to have the patient bear down, and a rectal tube wouldn't help.

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Question Information

NCLEX Category

Management of Care

Question Difficulty
Total - 90
Correct - 42
Percent Right - 46.6666666667
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Question ID - 368779

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