When you are doing a procedure that involves a general anesthetic and an abdominal incision, how could you expect the bowel sounds to be present in such a short time? With all that manipulation of the bowels, the general anesthetic, all the pain relievers...plus of course the PCA (if given)
Any patient that is in my care who can relate to this situation, this what i would keep in mind and act appropriately. If i were to go to my clinical instructor and tell her this situation and say bowel sounds are present and the person has been NPO for 3 days...she would tell me to get a new stethescope and do my research!!!!
You are NPO prior to surgery then after surgery you go from NPO - DAT, i wouldnt anticipate normal bowel sounds until atleast 3 days post op - at this point the patient has regained some energy, are more active and is eating.
Just thought everyone opinions were very interested, just had to respond :-)