What is the most effective way to increase peristalsis in a patient on postoperative day 2 after a nephrectomy?

Ambulation is the most effective way to increase peristalsis in a patient who is recovering from surgery, such as after a nephrectomy. This physical activity stimulates the gastrointestinal tract and promotes the natural movement of the bowels. During the recovery phase after surgery, patients often experience decreased activity levels, which can contribute to slowed intestinal motility. By walking or being physically active, a patient can enhance blood circulation, stimulate the digestive system, and encourage bowel movement, which is crucial in preventing postoperative complications like constipation and ileus.

While other methods, like administering a laxative or encouraging hot liquids, can help promote bowel activity, they do not have the same level of impact as ambulation, which engages the whole body and stimulates various body systems. An enema might be used in specific situations but is not generally the first line of defense for promoting peristalsis postoperatively. Encouraging hot liquids can support digestive processes but is not as effective as the mechanical action and systemic effects provided by ambulation. Thus, encouraging patients to get up and move is essential for enhancing gastrointestinal function during their recovery.