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

A peritoneal friction rub

Loud continual humming bowel sounds

Hypoactive bowel sounds

Loud gurgling bowel sounds

Answer and Explanation

The Correct Answer is D

A.   A peritoneal friction rub is a grating sound caused by inflamed surfaces of the peritoneum rubbing together.
B.   Borborygmi refers to loud, gurgling bowel sounds often heard with increased intestinal motility.
C.   Hypoactive bowel sounds are abnormally decreased or absent bowel sounds.
D.   Borborygmi describes the normal sounds made by the movement of gas and fluid in the intestines.

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Correct Answer is C

Explanation

A. The condyle of the mandible is the rounded protuberance at the end of the mandible bone but doesn't refer to the joint.
B. The zygomatic arch of the temporal bone is part of the skull structure and not directly associated with the mandibular joint.
C. The temporomandibular joint (TMJ) is the joint where the mandible articulates with the temporal bone of the skull, allowing for jaw movement and chewing.
D. The intervertebral foramen is a space between vertebrae through which spinal nerves exit the spinal cord.

A. 1 minute in the center of the abdomen. B. 10 minutes in each quadrant. C. 1 minute in each quadrant. D. 5 minutes in each quadrant. E. None F. None

Correct Answer is D

Explanation

A. One minute may not provide a sufficient duration to declare absent bowel sounds, especially if the client has a slower bowel motility.
B.

Listening for 10 minutes in each quadrant is excessive and not supported by clinical guidelines. It would unnecessarily delay care and increase patient discomfort.

C. One minute in each quadrant might not provide an adequate assessment time.
D. This is the correct answer because clinical guidelines recommend auscultating for at least 5 minutes in each quadrant before concluding that bowel sounds are absent. This ensures sufficient time to detect infrequent bowel sounds and accurately assess the situation.

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

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Naxlex Comprehensive Predictor Exams

The nurse is performing a physical assessment of the client's mandible and temporal bone. The nurse recognizes that the articulation of the mandible and the temporal bone is called?

Correct Answer is C

Explanation

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?

Correct Answer is D

Explanation

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

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