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 D

Explanation

Choice A Alcohol swabs may be too harsh and irritating for the delicate skin around the stoma. Mild soap and water are preferred for cleaning.

Choice B Tap water alone may not be sufficient for removing debris and ensuring proper cleanliness around the stoma. Mild soap and water are preferred for cleaning.

Choice C Iodine may be too harsh and irritating for the peristomal skin. Mild soap and water are preferred for cleaning.

Choice D Mild soap and water are the best choice for cleaning around the colostomy stoma as they effectively remove debris and cleanse the area without being overly harsh on the skin.

A. Supine position B. High Fowler's position C. Semi Fowler's position D. Left lateral sidelying position (Sims)

Correct Answer is D

Explanation

Choice A The supine position is not suitable for administering an enema as it does not facilitate proper flow and retention of the solution.

Choice B High Fowler's position is not the best option for enema administration, as it might cause discomfort and hinder proper administration.

Choice C Semi Fowler's position is also not the best option for enema administration, as it may not allow the solution to flow effectively.

Choice D The Sims position, with the patient lying on the left side with the right knee flexed, allows the enema solution to flow downward by gravity and improves retention. It is the best position for enema administration.

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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

The nurse knows that the best way to clean around a colostomy stoma is to use the following

Correct Answer is D

Explanation

A nurse is preparing her patient to receive a Fleet enema. What position is best for the procedure?

Correct Answer is D

Explanation

A patient who is constipated has just received a mineral oilretention enema. The nurse encourages this patient to hold this enema for a minimum of how long?

The nurse knows that a bowel training schedule would be most beneficial in the plan of care for which patient?

An adult patient has orders for an enema. A nurse will

Which doctor's order should be questioned?

The nurse is caring for a patient with complaints of constant diarrhea for 3 days. The patient is exhibiting signs and symptoms of dehydration. The best fluid source for this patient to drink small amounts of is

A doctor orders a test to find "hidden blood" from the patient's stool sample. A nurse identifies that this type of test is used to detect the presence of

A patient's admission assessment includes pertinent information about bowel elimination. Which subjective information collected by the nurse will be documented?

A nurse can expect that which of the following patients are most likely to suffer from fecal incontinence? Select all that apply.