Bowel Elimination
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Questions and Answers

What is the correct sequence for evaluating the aortic region of the abdomen and the lower region of the abdomen?

  • Start from the right side and move to the left side
  • Evaluate both regions simultaneously
  • Evaluate the aortic region first, then the lower region (correct)
  • Evaluate the lower region first, then the aortic region
  • Why should the nurse use the bell, not the diaphragm, of the stethoscope when assessing vascular sounds in the abdomen?

  • The diaphragm distorts vascular sounds
  • The bell provides better amplification of high-pitched sounds (correct)
  • The bell allows for a better evaluation of bowel sounds
  • The diaphragm is more suitable for listening to vascular sounds
  • Which of the following accurately describes Borborygmi?

  • It is a normal bowel sound caused by peristalsis (correct)
  • It indicates respiratory distress
  • It is a sign of an abdominal aneurysm
  • It is a vascular sound indicating arterial blockage
  • When assessing for vascular sounds in the abdomen, why should the nurse only expose the region being assessed?

    <p>To maintain patient privacy and dignity</p> Signup and view all the answers

    What assessment finding in a client with gastroenteritis should prompt the nurse to contact the health care provider?

    <p>Distended abdomen with visible peristalsis</p> Signup and view all the answers

    Which finding would be considered normal in a client with gastroenteritis?

    <p>Borborygmi in all four quadrants</p> Signup and view all the answers

    In a client with gastroenteritis, what finding would suggest a need for immediate medical attention?

    <p>Visible abdominal distention and tenderness</p> Signup and view all the answers

    During assessment of a client with gastroenteritis, which finding could be mistaken for a normal variant?

    <p>Diffuse abdominal tenderness and cramping</p> Signup and view all the answers

    Which assessment finding in a client with gastroenteritis would require urgent follow-up by the health care provider?

    <p>Loud, gurgling sounds throughout the abdomen</p> Signup and view all the answers

    What is the most appropriate action for the nurse to take next for the client presenting with severe right lower quadrant pain and a fever of 38.6°C?

    <p>Prepare the client for immediate surgery</p> Signup and view all the answers

    Which vital sign finding is most indicative of a potential acute surgical emergency in this client?

    <p>Fever of 38.6°C (101.5°F)</p> Signup and view all the answers

    What is the rationale for keeping the client NPO in this situation?

    <p>To prepare for possible surgery</p> Signup and view all the answers

    Why is cleansing the abdomen with chlorhexidine important for this client?

    <p>To prevent surgical site infection</p> Signup and view all the answers

    Which additional assessment finding would further support the nurse's suspicion of acute appendicitis in this client?

    <p>Rebound tenderness in the right lower quadrant</p> Signup and view all the answers

    What type of bowel sounds would the nurse expect to document in a healthy client during an abdominal assessment?

    <p>Soft, tinkling sounds every 5 to 34 seconds</p> Signup and view all the answers

    Which term would be used to describe bowel sounds that are gurgling, continuous, and louder than normal?

    <p>Hyperactive</p> Signup and view all the answers

    What is the correct interpretation of blowing, swooshing sounds at the ileac region during an abdominal assessment?

    <p>Bruit sounds</p> Signup and view all the answers

    When would bowel sounds be considered absent during an abdominal assessment?

    <p>After auscultating for 2 minutes with no sounds heard</p> Signup and view all the answers

    If a client with asthmatic bronchitis had bruit sounds in the ileac region, what would be the likely interpretation of this finding?

    <p>Abnormal finding, possibly indicating a vascular issue</p> Signup and view all the answers

    What distinguishes normoactive bowel sounds from hyperactive bowel sounds?

    <p>Occurring every 5 to 34 seconds vs. gurgling, continuous, and louder</p> Signup and view all the answers

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