The nurse assesses no bowel sounds with occasional splashing sounds over the large intestines. Which of the following do these assessment findings suggest to the nurse?
1. Ulcerative colitis
2. Irritable bowel syndrome
3. Appendicitis
4. Bowel obstruction
4
Obstruction can be detected with absent bowel sounds and borborygmi or a splashing sound heard over the large intestine. Absent bowel sounds and borborygmi are not associated with ulcerative colitis, irritable bowel syndrome, or appendicitis.
You might also like to view...
A postoperative pediatric patient is experiencing nausea and vomiting. What is the antiemetic drug of choice in children?
A) Promethazine (Phenergan) B) Benzquinamide (Emete-Con) C) Buclizine (Bucladin-S) D) Cyclizine (Marezine)
The nurse would recognize which of the following statements as the best example of stereotyping?
A) Many African Americans celebrate Kwanzaa. B) Most Mexicans are living in the United States illegally. C) Older adults tend to be more financially sound. D) Hispanic men are at greater risk for stroke.
The staff development instructor is planning an inservice for nursing staff on the theories of aging. What should the instructor include about immune dysregulation?
1. Immune cells attack the normal body tissues. 2. The ability to differentiate between invaders and normal tissues diminishes with age. 3. The immune system is not able to defend the body from foreign invaders with age. 4. Changes in the immune system disrupt the regulation of immune process components.
The nurse is caring for a patient diagnosed with shingles. The patient has been complaining of constant pain along the sciatic nerve. What intervention by the nurse can best help to provide pain relief?
a. Distract the patient with conversation. b. Massage the area of pain. c. Move the affected leg through range of motion (ROM). d. Change the patient's position frequently.