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    Hesi rn d443 health assessment proctored exam

    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 refers to loud, prolonged, and hyperactive bowel sounds, often described as "stomach growling." These sounds are typically associated with increased peristalsis, such as in diarrhea or hunger, rather than the normal pattern of gurgles every 5 to 10 seconds. B. Hypoactive bowel sounds. Hypoactive bowel sounds are infrequent and indicate reduced intestinal activity, occurring less than normal (typically fewer than 5 sounds per minute). They are commonly associated with conditions such as ileus, peritonitis, or postoperative recovery. C. Hyperactive bowel sounds. Hyperactive bowel sounds occur more frequently than normal, often more than 30 times per minute. They are associated with increased motility due to conditions like gastroenteritis, early bowel obstruction, or laxative use. D. Normal bowel sounds. Normal bowel sounds consist of intermittent gurgling that occurs every 5 to 15 seconds, lasting a few seconds each. The nurse’s finding of gurgles lasting about 3 seconds and occurring every 5 to 10 seconds is within the expected range, making this the correct documentation.

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