When reviewing the medical record of a newly assigned client, the nurse notes borborygmus documented to describe bowel sounds on the previous abdominal assessment. The nurse knows this means that the client's bowel sounds were what?
Absent
Blowing sound due to restriction.
A continuous medium pitched sound.
High pitched, tinkling, rushing or growling.
The Correct Answer is D
A. Absent. Borborygmus refers to hyperactive bowel sounds, not absent sounds.
B. Blowing sound due to restriction. A blowing sound may indicate a vascular issue, such as a bruit over the aorta, rather than bowel motility.
C. A continuous medium-pitched sound. Medium-pitched sounds may be heard in normal bowel activity, but borborygmus refers to increased, hyperactive sounds.
D. High-pitched, tinkling, rushing, or growling. Borborygmus describes hyperactive bowel sounds, which occur in conditions such as gastroenteritis or hunger.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Thickened vertebral disks: Aging leads to thinning of intervertebral disks, which contributes to a decrease in height and spinal flexibility.
B. Increased force of isometric contractions: Aging results in decreased muscle strength, not increased force of contractions.
C. Decreased chest width: Aging can lead to a barrel chest appearance due to changes in the thoracic cage, rather than a decrease in width.
D. Decreased muscle mass: Sarcopenia, or the loss of muscle mass with aging, is a common musculoskeletal change that contributes to reduced strength and function.
Correct Answer is ["60"]
Explanation
Convert weight from pounds to kilograms:
165lb÷2.2=75kg
Multiply by the Recommended Dietary Allowance (RDA) for protein:
75kg×0.8g/kg=60g
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