A patient recovering from a colonoscopy reports abdominal pain of 4 on a 5-point scale. The patient's abdomen is rigid, and vital signs are T 99.2, HR 94, R 28, and BP 98/69. What initial action by the nurse is indicated?

Question

Quizplus · Accepted Answer

1. The patient may experience flatus after a colonoscopy, but this would not cause abdominal rigidity or cause pain to be rated 4 on a 5-point scale.
2. Taking no action is negligent of the nurse. These findings indicate there is a complication present that needs immediate intervention.
3. The presence of abdominal rigidity following a colonoscopy may indicate the presence of a bowel perforation. The observations require prompt reporting to the physician.
4. Medication for pain may be necessary, but the priority action is notification of the physician.

A Patient Recovering from a Colonoscopy Reports Abdominal Pain of 4