Nurse Melinda is caring for a client who is postoperative following a pelvic exenteration and the physician changes the client’s diet from NPO status to clear liquids. The nurse makes which priority assessment before administering the diet?
A. Ability to ambulate
B. Urine specific gravity
C. Bowel sounds
D. Incision appearance
Correct Answer: C. Bowel sounds
Option C: The client is kept NPO until peristalsis returns, usually in 4 to 6 days. When signs of bowel function return, clear fluids are given to the client. If no distention occurs, the diet is advanced as tolerated. The most important assessment is to assess bowel sounds before feeding the client.
Options A, B, and D: These are unrelated to the subject of the question.
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