A client suffered a 45% total body surface area (TBSA)burn and was intubated.Twelve hours later,bowel sounds were absent in all four abdominal quadrants.Which is the nurse's best action?

Question

Quizplus · Accepted Answer

Decreased or absent peristalsis is a frequent response during the emergent phase of burn injury as a result of neural and hormonal compensation to the stress of injury.The result is often a paralytic ileus.Clients who have burns greater than 25% TBSA or who are intubated generally need to have an NG tube inserted.

A Client Suffered a 45% Total Body Surface Area (TBSA)burn