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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: The central nervous system consists of the brain and spinal cord, not "electrical impulse stimulators."
Choice B rationale: The hypothalamus is a part of the brain, but the central nervous system encompasses both the brain and the spinal cord.
Choice C rationale: The central nervous system (CNS) is made up of the brain and spinal cord. The CNS processes and interprets sensory information and sends motor commands to effectors.
Choice D rationale: The peripheral nervous system and autonomic nervous system are distinct from the central nervous system and are not part of the CNS.
Correct Answer is D
Explanation
Choice A rationale: Listening to the client's speech is not related to the assessment of cranial nerve V.
Choice B rationale: Reading a Snellen chart is related to visual acuity and involves cranial nerve II, not cranial nerve V.
Choice C rationale: Identifying scented aromas is related to olfaction, which involves cranial nerve I, not cranial nerve V.
Choice D rationale: Cranial nerve V, the trigeminal nerve, is responsible for sensory input from the face and motor function such as biting and chewing. Asking the client to clench his teeth assesses the motor function of the trigeminal nerve.
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