The patient has not defecated for 24 hours after an appendectomy. The patient’s abdomen is distended and the patient reports nausea. Upon auscultation, the nurse notes absent bowel sounds after 5 minutes of auscultation. Which action does the nurse take first?

The patient with Marfan syndrome presents with difficulty breathing in the supine position and fatigue. Upon palpation, a heave is noted. The nurse anticipates auscultating which heart sound?

The 22-year-old patient is brought to the emergency room with decreased level of consciousness after ingesting 3,4-methylenedioxymethamphetamine. The patient is noted to have a rectal temperature of 40°C. The nurse performs which interventions? Select all that apply.