Nokea
A nurse is planning care for a client who is postoperative and at risk for paralytic ileus. Which of the following interventions should the nurse plan to take to promote peristalsis?
Correct Answer: A
Rationale: The correct answer is A: Increase ambulation. Ambulation helps stimulate peristalsis by promoting movement in the gastrointestinal tract. This movement aids in preventing or alleviating paralytic ileus, a common postoperative complication. Increasing ambulation helps to increase muscle tone and activity in the intestines, promoting bowel motility.
Summary of other choices:
B: Decrease fluid intake - This is incorrect because adequate hydration is essential for promoting peristalsis and preventing constipation.
C: Increase protein intake - Protein intake is important for wound healing and overall nutrition but does not directly impact peristalsis.
D: Offer the client the bedpan every 2 hr - While providing opportunities for toileting is important, it does not directly promote peristalsis like ambulation does.