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?
Explanation & Rationale
A. Borborygmi sounds: Borborygmi are loud, prolonged, gurgling bowel sounds typically associated with increased gastrointestinal motility. They are usually heard without a stethoscope and are often linked to hunger or certain GI conditions, not the normal rhythm described.B. Hyperactive bowel sounds: These are frequent, high-pitched, loud sounds that may occur more than 30 times per minute. They are associated with diarrhea, gastroenteritis, or early bowel obstruction—not the steady, moderate-frequency sounds described.C. Hypoactive bowel sounds: These are infrequent bowel sounds (fewer than 5 per minute), often soft and low-pitched, possibly indicating slowed intestinal activity from surgery, inflammation, or ileus. The client’s pattern of sounds every 5–10 seconds does not meet this definition.D. Normal bowel sounds: Bowel sounds occurring every 5 to 15 seconds and lasting a few seconds (gurgles, clicks) are considered normal. These reflect regular peristaltic activity and digestion, making this the correct documentation for the described findings.