A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

High-pitched, tinkling sounds

Normal bowel sound

Hypoactive bowel sounds

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

A. High-pitched, tinkling sounds: These may indicate bowel obstruction, not expected immediately after surgery.
B. Normal bowel sounds: Normal bowel sounds usually return gradually after surgery, but are unlikely within the first 24 hours.
C. Hypoactive bowel sounds: It is common to hear hypoactive or diminished bowel sounds in the first 24-48 hours after abdominal surgery due to postoperative ileus.
D. Hyperactive bowel sounds: These suggest increased peristalsis and are not typical immediately after surgery.

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Correct Answer is C

Explanation

A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.

B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).

C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.

D. Unilateral cool foot: Suggests acute arterial obstruction.

A. Ask the patient if he or she has experienced any unusual cramping or tingling in the arm. B. Refer the individual for further evaluation. C. Check for the presence of claudication. D. Consider this finding as normal, and proceed with the peripheral vascular evaluation.

Correct Answer is D

Explanation

A. Asking about cramping or tingling is unnecessary without other signs of compromised circulation.

B. Referral is not needed if perfusion is adequate.

C. Checking for claudication relates to arterial insufficiency, not absence of ulnar pulse.

D. Proceeding with the evaluation is appropriate if perfusion is adequate, as indicated by normal capillary refill and warm skin.

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A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?

Correct Answer is C

Explanation

When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse should;

Correct Answer is D

Explanation

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