NCP: After Laparotomy

Question 1

a nursing diagnosis post-laparotomy is acute pain. what nursing interventions can be done to reduce pain (5)

Answer 1

• provide pt-controlled analgesia
• assess for pain
• give pain meds q3-4 hr as ordered for first 72 hr
• splint incision w pillows during coughing, DB&C, and moving
• position pt comfortably

Question 2

a nursing diagnosis post-laparatomy is nausea

. what nursing interventions can be completed to help relieve this? (6)

Answer 2

• administer antiemetic meds as ordered
• assess response to pain meds to determine if that is the cause
• maintain patency of NG tube to prevent accumulation of gastric secretions
• assess BS and abdominal distension to determine return of peristalsis
• keep patient on NPO status until orders for postop diet received
• limit unpleasant smells, sights, and stimuli

Question 3

a nursing diagnosis post-laparotomy is constipation. what nursing interventions can be done to treat this (5)

Answer 3

• assess abdomen for distension
• assess BS
• administer bowel softener
• encourage frequent position changes & ambulation
• encourage increased fluid intake