Wgu rn hesi 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: These are loud, prolonged gurgles heard during increased peristalsis, typically associated with conditions like diarrhea. B. Hypoactive bowel sounds: These occur less frequently than every 5 to 10 seconds, typically associated with conditions like ileus. C. Normal bowel sounds: Normal bowel sounds consist of intermittent gurgles occurring every 5 to 15 seconds in all quadrants. D. Hyperactive bowel sounds: These are high-pitched, frequent sounds occurring more often than every 5 seconds and may indicate obstruction or increased motility.
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