The nurse is assessing a healthy adult male during an annual physical examination. The nurse auscultates the client's abdomen and hears a gurgling sound every ten seconds. Which action should the nurse take in response to this finding?
Explanation & Rationale
Rationale: A. Observe the next bowel movement for signs of bleeding: Monitoring stool for blood is important if gastrointestinal bleeding is suspected, but normal gurgling bowel sounds do not suggest bleeding. This action is unnecessary based solely on the auscultated finding described. B. Encourage increased consumption of fiber in the diet: Fiber intake is recommended for promoting healthy bowel habits, but the presence of normal bowel sounds does not indicate a need to change dietary habits unless other issues, like constipation, are reported. C. Report the hyperactivity to the healthcare provider (HCP): A gurgling sound every ten seconds is considered a normal bowel sound frequency. Hyperactive bowel sounds would be continuous, high-pitched, and frequent; therefore, this finding does not require reporting as abnormal. D. Document this normal bowel sound activity in the record: Bowel sounds occurring every 5 to 15 seconds are typical for a healthy adult. Hearing a gurgling sound every ten seconds reflects normal gastrointestinal motility and should be documented accurately in the client’s health record.