The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?
Reduce all environmental noise.
Percuss the region before auscultating.
Palpate the region before auscultating.
Assist the client to a sitting position.
The Correct Answer is A
A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.
B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.
C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.
D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.
B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.
C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.
D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.
Correct Answer is ["B","D","E"]
Explanation
A. Increase consumption of dairy products: While dairy products can be part of a balanced diet, increasing consumption without consideration of fat content or sodium is not specifically a preventive strategy for hypertension.
B. Choose foods like bananas and sweet potatoes: Foods rich in potassium, such as bananas and sweet potatoes, can help manage blood pressure by balancing sodium levels.
C. Consume two to three glasses of red wine daily: Excessive alcohol consumption can raise blood pressure, so this is not a recommended strategy for hypertension prevention.
D. Use a low sodium seasoning to flavor food: Reducing sodium intake is crucial in managing and preventing hypertension, so using low sodium seasonings is a beneficial strategy.
E. Walk briskly 30 minutes per day: Regular physical activity, such as brisk walking, is an effective way to help manage and prevent hypertension.
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