A nurse is checking the client's bowel sounds. At which time should the nurse auscultate the client's abdomen?

Answer and Explanation

The Correct Answer is ["1"]

The nurse typically auscultates the abdomen for bowel sounds before meals or at least 1-2 hours after meals. This timing allows for the assessment of both the presence and character of bowel sounds. It is important to note that bowel sounds can vary depending on factors such as the client's activity level, diet, and any underlying gastrointestinal conditions. Therefore, a comprehensive assessment of bowel sounds should be conducted at different times to obtain an accurate representation of the client's bowel function.

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Correct Answer is C

Explanation

A.Docusate sodium should not be taken with mineral oil, as the combination can increase the risk of adverse effects and reduce the effectiveness of the medication.

B.Docusate sodium is primarily used to prevent constipation by softening stools, not for treating diarrhea.

C.Docusate sodium is a stool softener that typically works within 1 to 3 days to produce softer stools, making this statement a correct understanding of its effects and timeline.

D.While it’s important to stay hydrated when taking docusate sodium, the statement is somewhat misleading. It is typically recommended to take docusate sodium with a full glass of water to help facilitate the softening of stools.

A. Administer an enteral feeding to a client who has a new gastrostomy tube. B. Measure the output from a client's indwelling urinary catheter. C. Evaluate a client's pain level 30 min after receiving an oral analgesic. D. Reinforce foot care to a client who has a new diagnosis of diabetes mellitus.

Correct Answer is B

Explanation

Measuring the output from an indwelling urinary catheter is within the scope of practice for an assistive personnel (AP). It involves a straightforward task that does not require specialized nursing knowledge or judgment.

The other tasks mentioned should not be delegated to an AP:

Administer an enteral feeding to a client who has a new gastrostomy tube: Administering enteral feedings requires specialized knowledge and training to ensure proper placement and administration. This task should be performed by a licensed nurse.

Evaluate a client's pain level 30 min after receiving an oral analgesic: Evaluating pain level and the effectiveness of pain management requires nursing assessment and judgment. This task should be performed by a licensed nurse.

Reinforce foot care to a client who has a new diagnosis of diabetes mellitus: Providing education and reinforcing foot care to a client with a new diagnosis of diabetes requires

specialized knowledge about the disease and its management. This task should be performed by a licensed nurse.

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A nurse is checking the client's bowel sounds. At which time should the nurse auscultate the client's abdomen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium. The nurse should recognize which of the following statements indicates the client understands the teaching?

Correct Answer is C

Explanation

A charge nurse planning care for a group of clients is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

Correct Answer is B

Explanation

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