The client states, "No one will let me eat or drink anything until after my test and it's been 9 hours since I last ate anything!" While auscultating the client's abdomen the nurse hears frequent bowel sounds
In which of the following ways should the nurse accurately document this finding? 1. Borborygmi present
2. Hypoactive bowel sounds present
3. Bruit present
4. Friction rub present
1
Rationale 1: Borborygmi are hyperactive bowel sounds.
Rationale 2: Hypoactive bowel sounds are not normally auscultated in clients who are merely hungry. They are more often auscultated in clients who have developed a bowel obstruction or who have had a major abdominal surgery.
Rationale 3: Bruits can be auscultated over blood vessels.
Rationale 4: Friction rubs are associated with the rubbing together of abdominal organs or organs that may be rubbing on the peritoneum.
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