After an initial assessment, a nurse documents that a patient, admitted for abdominal pain, has hyperactive bowel sounds. As a result, the nurse could expect the patient's bowel movements to be

In range from 530 bowel sounds per minute

Less than 5 bowel sounds per minute

Absent bowel sounds

Over 30 bowel sounds per minute

Answer and Explanation

The Correct Answer is D

Choice A This range of bowel sounds is considered normal. Hyperactive bowel sounds refer to an increased frequency and intensity of bowel sounds, exceeding the upper limit of the normal range.

Choice B Bowel sounds less than the normal range might indicate decreased bowel motility but are not associated with hyperactive bowel sounds.

Choice C Absent bowel sounds would be concerning and may indicate an ileus or other gastrointestinal issue, but it is not associated with hyperactive bowel sounds.

Choice D Hyperactive bowel sounds are characterized by an increased frequency and intensity of bowel sounds, exceeding the normal range, and are likely to be documented in a patient with abdominal pain.

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Correct Answer is A

No explanation

A. Administering laxatives to the patient B. Preparing to administer a cleansing enema C. Withholding narcotic pain medication for at least 2 hours until the patient had a bowel movement successfully. D. Raising the head of the bed to a semi or high Fowler's position

Correct Answer is D

Explanation

Choice A Laxatives might be an option, but they should not be the first intervention. Other noninvasive measures should be tried first.

Choice B Administering a cleansing enema is not the first intervention for a patient having

trouble defecating into a bedpan. It is an invasive procedure and should be considered after less invasive measures have been tried.

Choice C Withholding pain medication might lead to unnecessary discomfort for the patient and is not the best approach to promote bowel movements.

Choice D Raising the head of the bed will help the patient assume a more upright position, which can facilitate bowel movement and defecation into the bedpan more effectively.

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After an initial assessment, a nurse documents that a patient, admitted for abdominal pain, has hyperactive bowel sounds. As a result, the nurse could expect the patient's bowel movements to be

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult's perineal skin appears to be dry and thin with mild excoriation. When providing hygiene after a bowel movement, the nurse should

Correct Answer is A

A patient is having trouble defecating into a bedpan while lying in bed. Which action by the nurse would assist the patient in having a successful bowel movement?

Correct Answer is D

Explanation

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