Practice Question
A nurse is assessing a client who is 1 hr postoperative following roux-en Y gastric bypass surgery. Which of the following findings is the priority for the nurse to report to the provider?
Answer Choices:
Correct Answer:
Client report of back pain of 7 on a 0 to 10 scale
Rationale:
✴️ In a client who is 1 hour postoperative following Roux-en-Y gastric bypass, severe back or shoulder pain can be a red flag for a serious complication, such as an anastomotic leak.
✴️ An anastomotic leak occurs when the connection between the stomach and intestines leaks gastric contents into the peritoneal cavity, leading to peritonitis or sepsis.
✴️ This type of pain, especially if sharp or unrelenting, requires immediate evaluation, imaging, and possible return to surgery.
✴️ While the other findings warrant monitoring, sudden or severe back pain post-abdominal surgery takes priority due to the potential for life-threatening complications.
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This question is from RN ATI Concept-based assessment level Exam which contains 132 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4