The physician comments that the client has abdominal borborygmi. The nurse recognizes that which of the following is the best description of borborygmi?

A peritoneal friction rub

Loud continual humming bowel sounds

Hypoactive bowel sounds

Loud gurgling bowel sounds

Answer and Explanation

The Correct Answer is D

Choice A rationale: A peritoneal friction rub is a grating sound caused by the movement of inflamed peritoneal surfaces and is not associated with bowel sounds.

Choice B rationale: Loud continual humming bowel sounds do not accurately describe borborygmi and are not a common term used to describe bowel sounds.

Choice C rationale: Hypoactive bowel sounds indicate decreased bowel motility and are not associated with borborygmi.

Choice D rationale: Borborygmi refers to loud, gurgling bowel sounds that are audible without the use of a stethoscope. It is a normal sound associated with the movement of gas and fluid through the intestines.

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Correct Answer is C

Explanation

Choice A rationale: Estimating the degree of flexion and extension in each joint is more related to joint range of motion, not muscle strength.

Choice B rationale: Measuring the degree of force that it takes to overcome joint flexion or extension is not a standard method for assessing muscle strength.

Choice C rationale: To assess muscle strength, the nurse should apply an opposing force when the individual puts a joint in flexion or extension. This helps evaluate the strength of the muscles and their ability to move the joint against resistance.

Choice D rationale: Observing muscles for the degree of contraction when lifting a heavy object may provide information on muscle function but is not a specific muscle strength assessment.

A. Dull throbbing pain that increases with rest. B. Dull ache. C. Sharp pain that increases with movement. D. Deep pain in the wrist.

Correct Answer is C

Explanation

Choice A rationale: Dull throbbing pain that increases with rest is less suggestive of a fracture.

Choice B rationale: A dull ache may be present with various conditions and is not specific to a fracture.

Choice C rationale: Sharp pain that increases with movement is indicative of a possible fracture, as movement can cause the fractured ends of the bone to rub against each other.

Choice D rationale: Deep pain in the wrist is nonspecific and may not be strongly indicative of a fracture.

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The physician comments that the client has abdominal borborygmi. The nurse recognizes that which of the following is the best description of borborygmi?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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