Question:

A 2-month-old infant is at risk for an ileus after surgery to correct intussusception. Which of the following should be included in a focused assessment for this complication? Select all that apply. 

1. Measurement of urine specific gravity. 

2. Assessment of bowel sounds. 

3. Characteristics of the first stool.

4. Measurement of gastric output. 

5. Bilirubin levels.

A postoperative ileus is a functional obstruction of the bowel. Assessment of bowel sounds, the first stool, and the amount of gastric output provide information about the return of gastric function. Measurement of urine specific gravity provides information about fluid and electrolyte status; bilirubin levels provide information about liver function, and neither of these tests need to be included in a focused assessment for ileus. 

CN: Reduction of risk potential; CL: Analyze

Answer:2，3，4

翻译

问题：

2个月大的婴儿在矫正肠套叠手术后有肠梗阻的危险。对于这种并发症，以下哪项应包括在重点评估中？选择所有适用的选项。

1.尿比重的测定。

2.肠鸣音评估。

3.第一次大便的特征。

4.胃输出量的测量。

5.胆红素水平。

答案：2,3,4

术后肠梗阻是一种功能性肠梗阻。评估肠鸣音、第一次排便和胃输出量可提供有关胃功能恢复的信息。尿比重的测量提供了有关液体和电解质状态的信息；胆红素水平提供了肝功能的信息，这些测试都不需要包括在肠梗阻的重点评估中。

CN:降低风险可能性；CL:分析

小编寄语：In fact, it is only in an idea that you think you can and can't.觉得自己做到和做不到，其实只在一念之间。