Which of the following should the nurse implement if the client has absent bowel sounds?
1. Call the provider.
2. Use a stethoscope.
3. Assess related factors.
4. Use an amplifying instrument.
3
3. If the client has inaudible bowel sounds, the nurse assesses the client for distention, the last bowel movement, and client comfort to obtain a more complete assessment.
1. Until the assessment is completed, calling the provider is premature.
2. Unless the nurse uses the ear to auscultate bowel sounds, using the stethoscope is redundant.
4. Doppler devices are not useful to detect bowel sounds.
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