Certified Neuroscience Registered Nurse (CNRN) Practice Exam

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What can aggressive intravenous fluid resuscitation after GI surgery lead to?

Increased bowel motility
Decreased risk of infection
Increased risk of postoperative ileus
Improved absorption of nutrients

The correct answer is: Increased risk of postoperative ileus

Aggressive intravenous fluid resuscitation after gastrointestinal (GI) surgery can lead to an increased risk of postoperative ileus. Ileus refers to a temporary cessation of bowel movement and function, which can occur after surgery due to various factors, including the body's stress response, manipulation of the intestines during the procedure, and the effects of anesthesia. In cases of excessive fluid resuscitation, there may be bowel distension, increased intra-abdominal pressure, and disturbance of electrolyte balance, all of which can contribute to impaired bowel motility. This further exacerbates the risk of developing ileus, delaying recovery and potentially leading to complications such as bowel obstruction or prolonged hospitalization. Understanding the implications of aggressive fluid management in postoperative care is crucial, as it can significantly impact the recovery process and the overall outcomes for patients undergoing GI surgery.