A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

Auscultates bowel sounds for 3 to 5 min

Clamps the NG tube during auscultation

Performs auscultation between meals

Palpates the abdomen prior to performing auscultation.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Auscultating bowel sounds for 3 to 5 minutes is appropriate if sounds are not initially heard.
B. Clamping the NG tube prevents false bowel sounds from the tube.
C. Performing auscultation between meals ensures accurate assessment of bowel sounds.
D. Palpating the abdomen prior to auscultation can alter bowel sounds, making it important to auscultate before palpation.

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Correct Answer is D

Explanation

A. Standing in a tripod position prior to walking with crutches is a correct stance to maintain balance and stability.
B. Keeping the elbows flexed helps absorb shock during ambulation and is appropriate when using crutches.
C. Pushing downward on the handgrips is necessary to generate upward force and support while using crutches.
D. Placing partial weight on the affected leg while ambulating with crutches using a three-point gait is incorrect and can jeopardize safety by potentially causing injury or instability.

A. Regular moderate exercise B. Annual influenza immunization C. Maintenance of ideal weight D. Smoking cessation

Correct Answer is D

Explanation

A. While regular moderate exercise is beneficial for overall health, it is not the most effective method for preventing chronic bronchitis.
B. Annual influenza immunization is important for preventing respiratory infections but does not directly prevent chronic bronchitis.
C. Maintaining an ideal weight promotes overall health but is not a primary preventive measure for chronic bronchitis.
D. Smoking cessation is the most effective method for preventing chronic bronchitis as smoking is the leading cause of the condition.

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A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

Nursing Test Bank

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