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 B

Explanation

Rationale:
A. The first step should involve preparing the NPH insulin by injecting air into the vial.
B. Injecting air into the NPH insulin vial ensures that the proper amount of insulin can be withdrawn without creating a vacuum.
C. Needle replacement with a safety needle is important for safety but occurs after preparing the insulin.
D. Injecting air into the regular insulin vial is not the initial step in preparing mixed insulin.

A. Cyclobenzaprine will relieve any nausea associated with a fracture. B. The medication will kill microorganisms that can cause infection at the fracture site. C. The medication will relieve muscle spasms that might occur with a fracture. D. Cyclobenzaprine will reduce itching that might occur as the fracture begins to heal.

Correct Answer is C

Explanation

A. Cyclobenzaprine is not indicated for relieving nausea.
B. Cyclobenzaprine is a muscle relaxant, not an antibiotic.
C. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms, which can occur with fractures.
D. Cyclobenzaprine does not have properties to reduce itching.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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