Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is the normal time frame for resolution of postoperative ileus?

1. 2 days

2. 4 days

3. 6 days

4. 8 days

The correct answer is: 4 days

The normal time frame for the resolution of postoperative ileus is generally around 4 days. Postoperative ileus refers to a temporary reduction or cessation of bowel function that can occur after surgery, particularly abdominal surgeries. It is characterized by symptoms such as abdominal distension, absence of bowel sounds, and lack of passage of gas or stool. Typically, bowel activity begins to return within the first few days following surgery. Factors that influence the resolution include the type of surgery performed, the individual's overall health, and their adherence to postoperative care protocols. By around 4 days, most patients start to show significant improvement as bowel motility often resumes, allowing for the passage of gas and stool. Understanding this timeframe is crucial for nursing and medical staff to manage patient expectations and intervene appropriately if the ileus persists beyond this point. While other time frames mentioned could be applicable in specific cases, 4 days is widely accepted as the standard duration for the resolution of postoperative ileus in a majority of patients.