Mike Sharp, a 52-year-old male client, is admitted to the medical-surgical unit with a small bowel obstruction confirmed by abdominal x-ray showing abnormal quantities of gas and fluid in the small intestine partially blocking it.

Mike Sharp, a 52-year-old male client, is admitted to the medical-surgical unit with a small
bowel obstruction confirmed by abdominal x-ray showing abnormal quantities of gas and fluid in
the small intestine partially blocking it. The client states he has colicky pain, nausea, vomiting of
stomach contents, and passed mucus and blood but has had no bowel movement. The abdomen is
distended, and there are no bowel sounds present. The following orders are noted on the chart:
Admit to medical-surgical unit with small bowel obstruction. No known drug allergies.
Keep NPO; IV: D5 ½ NS at 125 mL/h.
Renal profile, liver profile, CBC with differential; report any abnormal labs
Place a Salem Sump to continuous low suction.
Measure abdominal girth every shift.
Hourly I&O; daily weights
The LPN/LVN needs to insert the Salem Sump and provide nursing management for the client
receiving stomach decompression therapy.
a. Explain the nursing management of a client with the Salem Sump for gastric
decompression.
b. What is the best way to assess for bowel sounds while the client has a Salem Sump?

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