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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. Monitor the client for manifestations of fluid overload: This action is not specifically related to C. difficile infection. Monitoring for fluid overload might be necessary in other situations, but it is not the appropriate action for this scenario.
B. Use alcohol hand sanitizer following client care: While alcohol-based hand sanitizers are effective against many pathogens, they are not effective against C. difficile spores. Washing hands with soap and water is necessary to remove the spores.
C. Disinfect equipment with bleach solution. This is the correct answer. Clostridium difficile (C. difficile) spores are resistant to many disinfectants, but they are killed by bleach. Therefore, equipment and surfaces should be cleaned with a bleach solution to prevent the spread of the infection.
D. Implement neutropenia isolation: Neutropenia isolation is a precautionary measure taken when a person has a low count of neutrophils, a type of white blood cell. This option is not directly related to C. difficile infection.
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