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. How will the nurse document this finding in the medical record?
1. Borborygmi present.
2. Hypoactive bowel sounds present.
3. Bruit present.
4. Friction rub present.


Correct Answer: 1
Normal bowel sounds occur every 5 to 15 seconds. Borborygmi are hyperactive bowel sounds that are most often auscultated in clients who have not eaten recently. Hypoactive bowel sounds are most often auscultated in clients who have had abdominal surgery or who have a bowel obstruction. A bruit is a pulsing, blowing sound that can be auscultated over arteries. A friction rub is a rough, grating sound caused by the rubbing together of organs or an organ rubbing on the peritoneum.

Nursing

You might also like to view...

You are caring for a client who is receiving Apresoline, an antihypertensive medication. You recognize that your nursing care would include which of the following? (Select all that apply.)

a. Maintaining electronic fetal monitoring b. Positioning the client in the left lateral position c. Maintaining a low-stimulus environment d. Explaining to the client the need for monitoring heart rate and blood pressure e. Checking maternal blood pressure every minute for the first 5 minutes following administration f. Five minutes after the initial administration of the medication, checking maternal blood pressure every 5 minutes for the next hour

Nursing

The nurse is monitoring a client with liver failure. Which assessments does the nurse perform when monitoring for bleeding in this client? (Select all that apply.)

a. Gums b. Lung sounds c. Urine d. Stool e. Hair

Nursing

A nurse is teaching a pharmacology class to a group of nurses

To evaluate the group's understanding of local anesthetics, the nurse asks, "Which electrolyte channels inhibit axonal conduction as a result of the administration of a local anesthetic?" The best response of a participant would be _____ channels. a. potassium b. calcium c. sodium d. chloride

Nursing

What is the mechanism of action of local anesthetics on the pain response?

A. Local anesthetics stimulate sensory nerves at low doses that increase the response of the motor nerves. B. Local anesthetics interact with nerve membranes to increase nerve conduction. C. Local anesthetics block sensory nerves at low doses that do not inhibit motor nerve function. D. None of the above are correct.

Nursing