After a client experiences cramping and absent bowel sounds post-cholecystectomy, what is the nurse's priority action?

• A. Administer pain medication.
• B. Notify the health care provider.
• C. Monitor the client's fluid and electrolyte status.
• D. Encourage early ambulation.

Answer: (C)

In the context of a client who has undergone a cholecystectomy and is experiencing cramping along with absent bowel sounds, the priority action for the nurse is to monitor the client's fluid and electrolyte status. This situation suggests that the client may be experiencing a post-operative ileus, a common condition after abdominal surgery where bowel motility is temporarily reduced.

Monitoring fluid and electrolyte status is vital because absent bowel sounds can lead to an accumulation of fluids and potential electrolyte imbalances, which may worsen the client's condition if not addressed promptly. By closely observing these parameters, the nurse can assess for signs of dehydration or imbalances that could lead to serious complications.

While managing pain and discomfort through medication, notifying the healthcare provider, and encouraging ambulation are also important components of post-operative care, the immediate concern in this scenario revolves around ensuring the stability of the client’s fluid and electrolyte balance. Prompt monitoring can facilitate timely interventions, thereby enhancing patient outcomes.