A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?
Prior to percussing the abdomen
Prior to inspecting the abdomen
After checking int kidney tenderness
After palpating the abdomen
The Correct Answer is A
A. Prior to percussing the abdomen
Bowel sounds are typically auscultated before performing any other abdominal assessments. This allows the nurse to get an accurate representation of the client's bowel activity without any interference from other assessment techniques.
B. Prior to inspecting the abdomen
Inspecting the abdomen involves observing for any visible abnormalities, such as distension or lesions. Bowel sounds are auscultated first to get an initial sense of the client's gastrointestinal activity.
C. After checking for kidney tenderness
Kidney tenderness assessment is not directly related to bowel sounds. These assessments are separate and do not impact each other's sequence.
D. After palpating the abdomen
Palpating the abdomen should be done after auscultation. Palpation can stimulate bowel activity, potentially altering the natural bowel sounds. Therefore, it is essential to auscultate the abdomen before palpating it.
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Related Questions
Correct Answer is C
Explanation
A. Assume position with legs and rectum lower than the stomach.
Explanation: This position helps gas move through the intestines more effectively, relieving abdominal distension and promoting the passage of flatus. It's a commonly recommended position for patients experiencing discomfort due to abdominal gas.
B. Drink cold liquids.
Explanation: Drinking cold liquids might not directly help with abdominal distension and flatus. Warm liquids, on the other hand, can sometimes promote digestion and relieve gas discomfort.
C. Ambulate several times a day.
Explanation: Ambulation or walking encourages movement in the intestines, aiding in the passage of gas. It also promotes overall bowel function and can help prevent postoperative complications like atelectasis and deep vein thrombosis.
D. Use a straw.
Explanation: Using a straw doesn't have a direct impact on relieving abdominal distension or flatus. It's more relevant for patients who might have difficulty drinking directly from a glass due to medical conditions or after certain types of surgeries
Correct Answer is ["2.5"]
Explanation
The stock concentration of famotidine oral solution is 40mg/5ml
The ordered dose is 20mg \).
To find out how many milliliters (mL) of the solution to administer, we can set up a proportion.
40mg/5ml = 20mg/ dose to administer
Cross-multiplying, we get:
40mg * Dose to Administer (mL) = 20mg*5ml
Dose to Administer (mL) = 20mg * 5 mL/ 40mg
Simplifying:
Dose to Administer (mL) = 100/40 ml
Dose to Administer (mL) = 2.5mL
So, the nurse should administer 2.5 mL of the famotidine oral solution per dose.
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