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 B

Explanation

Choice A rationale: The HPV vaccine is recommended for individuals before becoming sexually active but can still provide protection for those who have not yet been exposed to all vaccine-preventable HPV types.

Choice B rationale: The HPV vaccine is not a treatment for existing HPV infections. It is most effective when given before exposure to the virus.

Choice C rationale: While the HPV vaccine is generally recommended for individuals ages 9 to 26, it may still be appropriate for older individuals in certain cases.

Choice D rationale: Checking with the physician is a good approach, but the nurse can provide information on the limitations of the vaccine in treating existing HPV infections.

A. measure the circumference of the ankle. B. measure the calf at the widest point with a tape measure. C. check the dorsalis pedis pulse with the palm of the hand. D. compress the dorsalis pedis pulse, looking for blood return.

Correct Answer is B

Explanation

Choice A rationale: Measuring the circumference of the ankle is not a specific method for screening DVT.

Choice B rationale: To screen for deep vein thrombosis (DVT), measuring the calf at the widest point with a tape measure is appropriate. A significant increase in calf circumference may indicate swelling due to DVT.

Choice C rationale: Checking the dorsalis pedis pulse is not a direct method for screening DVT. Pulses are assessed for arterial circulation.

Choice D rationale: Compressing the dorsalis pedis pulse is not a standard method for screening DVT. DVT assessment involves evaluating for swelling, pain, and changes in skin temperature.

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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

A nurse is taking a health history from a female client. The client asks to get the vaccine for human papilloma virus (HPV) to get rid of genital warts. Which of the following statements should be the nurse’s best response?

Correct Answer is B

Explanation

The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

Correct Answer is B

Explanation

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