The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Reduce all environmental noise.

Percuss the region before auscultating.

Palpate the region before auscultating.

Assist the client to a sitting position.

Answer and Explanation

The Correct Answer is A

A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.

B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.

C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.

D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.

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Correct Answer is C

Explanation

A. Technician: Technicians generally perform specific tasks or tests rather than collecting comprehensive subjective data.

B. Secretary: A secretary's role is administrative and does not involve direct patient assessment or data collection.

C. Nurse: Nurses are typically responsible for collecting subjective data from clients during the initial comprehensive assessment, including patient history and current health concerns.

D. Physician: While physicians review and interpret data, they often rely on nurses to collect detailed subjective information during initial assessments.

A. Vesicular B. Tracheal C. Bronchial D. Bronchovesicular

Correct Answer is A

Explanation

A. Vesicular: Vesicular breath sounds are normal and are heard over most of the lung fields. They are soft and low-pitched.

B. Tracheal: Tracheal breath sounds are harsh and high-pitched, typically heard over the trachea rather than over most of the lung fields.

C. Bronchial: Bronchial breath sounds are loud and high-pitched, usually heard over the trachea and larynx, not over most lung areas.

D. Bronchovesicular: These sounds are heard between the sternum and the interscapular area but are not as commonly heard over most of the lung fields compared to vesicular sounds.

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The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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