While auscultating for bowel sounds in an adult client, the nurse notes a series of gurgles that last about 3 seconds and occur every 5 to 10 seconds in all quadrants. How should the nurse document this finding?

Borborygmi sounds.

Hyperactive bowel sounds.

Hypoactive bowel sounds.

Normal bowel sounds.

Answer and Explanation

The Correct Answer is D

A.   Borborygmi refers to the audible rumbling sounds produced by the movement of gas through the intestines. While these sounds may be present in this case, they are more commonly described as prolonged, loud, or audible sounds, not as typical gurgles occurring at the interval described.
B.   Hyperactive bowel sounds are frequent and loud, often heard in conditions like diarrhea or early bowel obstruction. The described pattern here, with sounds occurring every 5 to 10 seconds, doesn't necessarily suggest hyperactivity.
C.   Hypoactive bowel sounds are reduced or absent, commonly seen in conditions like ileus or bowel obstruction. The sounds described here are not consistent with hypoactive sounds, which would be faint or absent.
D.   The description provided aligns with normal bowel sounds, which are intermittent and occur every 5 to 30 seconds in a healthy individual. This pattern of gurgles with the stated frequency is typical of normal bowel function.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Manipulating the testicles upon rising is not a recommended time for TSE and could lead to unnecessary manipulation that doesn't focus on examination.
B. Inspecting the testicles using a mirror is not as effective as feeling for lumps and abnormalities through touch.
C. It is ideal to perform testicular self-examination during bathing, as the warm water relaxes the scrotal skin and makes it easier to detect any lumps or changes in texture.
D. Comparing both testicles concurrently is important, but the technique is not as effective when done without the warmth of a bath or shower.

A. Otitis media. B. Neurological pathology. C. Tinnitus. D. Hearing loss.

Correct Answer is D

Explanation

A. Otitis media is an infection of the middle ear, and while it can affect hearing, it is not typically assessed using a tuning fork. Tuning forks are more useful for evaluating conductive hearing loss or bone conduction.
B. A tuning fork is generally not used to assess neurological pathology directly. Neurological conditions often require other diagnostic tools or tests to evaluate nerve function or reflexes.
C. Tinnitus is the perception of ringing in the ears and is usually assessed through patient reporting and audiometric testing. A tuning fork is not used to diagnose tinnitus, but it may be used to test hearing acuity.
D. A tuning fork is commonly used to assess for hearing loss, specifically conductive hearing loss. The fork helps test the function of bone and air conduction, which are important for determining the type of hearing impairment.

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While auscultating for bowel sounds in an adult client, the nurse notes a series of gurgles that last about 3 seconds and occur every 5 to 10 seconds in all quadrants. How should the nurse document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The college health clinic nurse is preparing a seminar on testicular self-examination (TSE). Which instruction should be included in the content for this seminar?

Correct Answer is C

Explanation

When conducting a physical examination, the nurse uses a tuning fork to assess for which condition?

Correct Answer is D

Explanation

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