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Question
Mrs. Malli is a 56 year old who had a vaginal hysterectomy and bilateral salpingoopherectomy for menorrhagia. She is first day postop and is experiencing abdominal distension and gas like pain. She rates her pain as 7 out of 10 and is very tired. She does not want to get up to the washroom or assist in her morning care. She has a PCA pump for pain control, which she is using every 10-15 minutes and is upset and teary that the doctor has ordered it to be discontinued and oral medication started. Her Foley catheter is to be discontinued. She wants you to leave the catheter and PCA pump in and to let her rest.
a. You understand that Mrs. Malli's pain is causing her distress, however what other factors may be leading to her emotional state?
b. What nursing measures can help to treat or prevent abdominal distension and its related gas pain?
c. What are some of the nursing interventions that you can employ to assist Mrs. Malli?
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