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 B

Explanation

A. Measuring the circumference of the ankle is not a specific method for screening DVT.
B. Assessing the calf at its widest point with a tape measure can reveal differences in calf size, which might indicate swelling due to a DVT.
C. Checking the dorsalis pedis pulse assesses peripheral circulation but doesn't specifically screen for DVT.
D. Compressing the dorsalis pedis pulse to check for blood return is part of assessing peripheral circulation but doesn’t directly screen for DVT.

A. estimate the degree of flexion and extension in each joint. B. measure the degree of force that it takes to overcome joint flexion or extension. C. apply an opposing force when the individual puts a joint in flexion or extension. D. observe muscles for the degree of contraction when the individual lifts a heavy object.

Correct Answer is C

Explanation

A. Estimating the degree of flexion and extension in each joint primarily assesses the range of motion, not specifically muscle strength.
B. Measuring the degree of force required to overcome joint flexion or extension may assess resistance but doesn't directly evaluate muscle strength.
C. Applying an opposing force when the individual puts a joint in flexion or extension is an accurate method to assess muscle strength, as it evaluates the force the muscle can generate against resistance.
D. Observing muscles for contraction while lifting a heavy object evaluates muscle usage but doesn’t offer a standardized way to assess muscle strength.

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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 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

The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?

Correct Answer is C

Explanation

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