A client seeks medical attention in the emergency department... | NCLEX-RN Practice Exam-4

Practice Question

A client seeks medical attention in the emergency department after developing acute abdominal pain two days prior. Which of the following actions by the nurse helps ensure accurate auscultation of the client's bowel sounds?

Answer Choices:

A. Auscultating the abdomen by utilizing the bell of the stethoscope

B. Listening for one full minute in each quadrant to confirm absence of bowel sounds

C. Pressing the stethoscope gently but deeply into the abdomen

D. Requiring that the client empty his or her bladder prior to auscultating the abdomen ✓ Correct Answer

Correct Answer:

Requiring that the client empty his or her bladder prior to auscultating the abdomen

Rationale:

🛁Emptying the bladder removes bladder distention that can dampen bowel sounds.

🎧An empty bladder enhances acoustic transmission, allowing clearer auscultation.

🔍A full bladder may produce false dullness, leading to misinterpretation of bowel motility.

📋Standardizing the abdominal environment by voiding ensures a consistent assessment.

📌Core Message

An emptied bladder prevents interference and allows clear bowel sound assessment.

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This question is from NCLEX-RN Practice Exam-4 which contains 123 questions.

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Answer Choices:

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NCLEX-RN Practice Exam-4

123 Questions

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Question Details

Category: NCLEX RN
Subcategory: NCLEX-RN-Practice Exams
Domain: NCLEX RN (Practice Exams)
Answer Choices: 4

Rhenis Nursing

Practice Question

A client seeks medical attention in the emergency department after developing acute abdominal pain two days prior. Which of the following actions by the nurse helps ensure accurate auscultation of the client's bowel sounds?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse is taking care of a 7-year-old female patient admitted for cellulitis of the right arm.

A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor. Which of the following clients would most appropriately be assigned to the bed at the end of the hall, away from the nurses' station?

A nurse is caring for a client with confusion secondary to a urinary tract infection. The client has just had a central intravenous (IV) line placed by the physician for antibiotic administration. Following the procedure, it is important for the nurse to complete which of the following?

A client being treated in a medical-surgical unit is receiving tube feedings. Over the past two days, the client has developed diarrhea, cramps, and abdominal distention. Which of the following interventions would be most appropriate for the nurse to complete? Select all that apply.

A nurse manager is scheduling nursing shifts for the next week. Which client would be best placed with a new nurse?

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NCLEX-RN Practice Exam-4

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Practice Question

A client seeks medical attention in the emergency department after developing acute abdominal pain two days prior. Which of the following actions by the nurse helps ensure accurate auscultation of the client's bowel sounds?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse is taking care of a 7-year-old female patient admitted for cellulitis of the right arm.

A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor. Which of the following clients would most appropriately be assigned to the bed at the end of the hall, away from the nurses' station?

A nurse is caring for a client with confusion secondary to a urinary tract infection. The client has just had a central intravenous (IV) line placed by the physician for antibiotic administration. Following the procedure, it is important for the nurse to complete which of the following?

﻿A client being treated in a medical-surgical unit is receiving tube feedings. Over the past two days, the client has developed diarrhea, cramps, and abdominal distention. Which of the following interventions would be most appropriate for the nurse to complete? Select all that apply.

A nurse manager is scheduling nursing shifts for the next week. Which client would be best placed with a new nurse?

From Exam

NCLEX-RN Practice Exam-4

Question Details

Was this question helpful?

Share your thoughts

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A client being treated in a medical-surgical unit is receiving tube feedings. Over the past two days, the client has developed diarrhea, cramps, and abdominal distention. Which of the following interventions would be most appropriate for the nurse to complete? Select all that apply.