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    Ati nurs 220 health assessment proctored exam

    A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

    Explanation & Rationale

    A. Palpation should be done after auscultation to avoid altering the bowel sounds. Palpation can cause changes in the sounds, making it difficult to assess accurately. B. It is advisable to auscultate bowel sounds when the patient is not actively eating, so this action is appropriate. C. This is the correct duration for assessing bowel sounds. Auscultating for 3-5 minutes is within the standard practice. D. If the client has an NG tube, clamping it before auscultation is appropriate as it prevents additional noises or interference from the tube.

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