Before determining the absence of bowel sounds, the nurse must auscultate the abdomen for
a. 1 minute.
b. 5 minutes.
c. 10 minutes.
d. 20 minutes.
B
To determine the absence of bowel sounds, the nurse must listen a total of 5 minutes, or at least 1 minute per abdominal quadrant.
You might also like to view...
A nurse is caring for a client with schizophrenia. The client asks the nurse what causes the disease. Which response indicating the pathophysiology and etiology of the disease is appropriate by the nurse?
A) "Reduced blood flow to the thalamus interferes with the brain's filter, turning the normal flow of sensory information into an overload." B) "There is an increased number of nicotinic receptors in the hippocampus, which makes it harder to form new memories and interpret sensory stimuli. C) "Genetics do not seem to factor into the cause of the disease." D) "The ventricles and sulci of the brain are decreased in size."
A postpartal woman is developing a thrombophlebitis in her right leg. Which of the following assessments would you make to detect this?
A) Bend her knee and palpate her calf for pain. B) Ask her to raise her foot and draw a circle. C) Blanch a toe and count the seconds it takes to color again. D) Dorsiflex her right foot and ask if she has pain in her calf.
You obtain a history from the mother of a child with glomerulonephritis about how he became ill. Which of the following would you expect her to tell you she noticed?
A) Dark brown urine B) Diuresis and pallor C) Headache, loss of appetite D) Loss of weight, oliguria
When assessing a client of Asian American background, which of the following would the nurse need to keep in mind?
A) Pain is a challenge to be fought. B) Pain helps to achieve higher spirituality. C) Pain must be endured to prepare for reincarnation. D) Pain is an inevitable event that must be endured.