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Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

2-20

4-32

2-10

5-30

Answer and Explanation

The Correct Answer is D

A. 2-20 – This range is too low to be considered normal.

B. 4-32 – This range is broader than the commonly accepted normal range.

C. 2-10 – This range is too low and may indicate hypomotility.

D. 5-30 – The normal rate of bowel sounds is typically 5 to 30 sounds per minute, with variations depending on individual digestion and activity.

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Correct Answer is D

Explanation

A. Percussion – Percussion involves tapping the body to assess underlying structures, not feeling for texture or consistency.

B. Auscultation – Auscultation is listening to body sounds (e.g., heart, lungs, and bowels) using a stethoscope, not feeling structures.

C. Inspection – Inspection is visual observation, not a tactile assessment.

D. Palpation – Palpation involves using the hands to assess the texture, size, consistency, and location of body structures, such as organs or lymph nodes.

A. a complete physical examination B. a medical assessment C. writing nursing orders D. an individualized plan of care

Correct Answer is D

Explanation

A. A complete physical examination – While a physical examination is part of data collection, the primary goal of a nursing assessment is to guide nursing care rather than conduct a full medical examination.

B. A medical assessment – Medical assessments are conducted by physicians to diagnose diseases, while nursing assessments focus on holistic patient care.

C. Writing nursing orders – Nursing orders are based on the care plan but do not encompass the entire purpose of the assessment.

D. An individualized plan of care – The primary purpose of a nursing assessment is to collect data to create a care plan tailored to the patient's specific needs.

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Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The technique used in physical examination where the examiner feels the texture, size, consistency and location of certain parts of the body with the hands s

Correct Answer is D

Explanation

A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

Correct Answer is D

Explanation

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