19. D is the correct answer. This patient has air fluid levels and dilated loops of bowel characteristic of a small bowel obstruction. Bentyl is an anti-cholinergic that could potentially slow bowel motility and make the patient worse. Magnesium Citrate should not be given until the bowel obstruction resolves. This would increase the pressure at the transition point and decrease the probability that this would reverse medically. Hydrocodone, an opiate, like bentyl will slow bowel motility. This patient needs an NG tube and bowel rest.
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