Monitoring for Constipation After Abdominal Surgery

What common complication should a nurse monitor for in clients recovering from abdominal surgery?

• A. Urinary retention.
• B. Constipation.
• C. Pneumonia.
• D. Vascular thrombosis.

Answer: (B)

Following abdominal surgery, it is essential for a nurse to monitor clients closely for constipation, as it is a prevalent complication that can arise during the recovery phase. This condition often occurs due to several factors, such as the effects of anesthesia, the use of opioid pain medications, dietary restrictions following surgery, and decreased physical activity. When a patient experiences constipation, it can lead to discomfort, delayed recovery, and may increase the risk for further complications, such as bowel obstruction. Encouraging early mobilization, ensuring adequate fluid intake, and gradually reintroducing a diet rich in fiber can help prevent this issue. Monitoring bowel patterns is thus a crucial part of post-operative care for patients recovering from abdominal surgery.

When patients undergo abdominal surgery, the focus often shifts to the immediate post-operative concerns—pain management, infection prevention, and mobility. However, an element that's just as critical but often lurks in the background is constipation. You may be wondering, "Why is this such a big deal?" Well, following abdominal surgery, constipation can emerge as a common and under-discussed complication, deserving the spotlight.