The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:

Normoactive.

Absent or hypoactive.

Hyperactive.

Borborygmi.

Answer and Explanation

The Correct Answer is B

Choice B rationale

After an open cholecystectomy, bowel sounds are typically absent or hypoactive due to the effects of anesthesia and the manipulation of the intestines during surgery. It takes time for normal bowel function to resume.

Choice A rationale

Normoactive bowel sounds are not expected immediately after abdominal surgery due to the temporary paralysis of intestinal motility caused by anesthesia and surgical manipulation.

Choice C rationale

Hyperactive bowel sounds are uncommon after surgery. They are more often associated with conditions like gastroenteritis or bowel obstruction rather than the immediate postoperative period of an open cholecystectomy.

Choice D rationale

Borborygmi, or loud, rumbling bowel sounds, are not expected after abdominal surgery. These sounds can indicate increased bowel activity, which is not typical in the immediate postoperative phase following an open cholecystectomy.

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Correct Answer is B

Explanation

Choice A rationale

Assessing for hypoglycemia at 0830 is too early, as insulin aspart typically peaks between 1 to 2 hours after administration. This choice would not capture the most likely time for hypoglycemia.

Choice B rationale

Hypoglycemia is most likely to occur around 0930, which is approximately 1.5 hours after the administration of insulin aspart, as it typically peaks within this time frame, increasing the risk of low blood sugar.

Choice C rationale

1030 is beyond the peak action time of insulin aspart, making it less likely to be the time for hypoglycemia. While it is important to monitor glucose levels, the highest risk period would have passed.

Choice D rationale

1130 is significantly beyond the peak action time of insulin aspart, and the risk of hypoglycemia from this dose would have decreased by this time. Regular monitoring is still important, but the critical period is earlier.

A. 0830. B. 0930. C. 1030. D. 1130.

Correct Answer is A

Explanation

Choice A rationale

Insulin aspart is a rapid-acting insulin with an onset of 15-30 minutes. Hypoglycemia could occur as early as 0830.

Choice B rationale

By 0930, the peak action of insulin aspart is nearing, but hypoglycemia could occur sooner.

Choice C rationale

1030 is too late for the typical onset of hypoglycemia with rapid-acting insulin.

Choice D rationale

1130 is far beyond the expected timing for hypoglycemia with a rapid-acting insulin like aspart.

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The nurse is caring for a client who is 4 hours post-op after an open cholecystectomy. The nurse would expect the client's bowel sounds to be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?

Correct Answer is B

Explanation

A client takes the morning dose of 10 units of insulin aspart at 0800. At what time would the nurse assess for hypoglycemia?

Correct Answer is A

Explanation

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