The nurse is assessing a patient who underwent bowel resection 2 days ago. As she auscultates the patient's abdomen, she notes low-pitched, infrequent bowel sounds. How should she document this finding?
1) Hyperactive bowel sounds
2) Abdominal bruit sounds
3) Normal bowel sounds
4) Hypoactive bowel sounds
Question 2
Which expected outcome is best for the patient with a nursing diagnosis of Acute Pain related to movement and secondary to surgical resection of a ruptured spleen and possible inadequate analgesia?
1) The patient will verbalize a reduction in pain after receiving pain medication and repositioning.
2) The patient will rest quietly when undisturbed.
3) On a scale of 0 to 10, the patient will rate pain as a 3 while in bed or as a 4 during ambulation.
4) The patient will receive pain medication every 2 hours as prescribed.
Question 3
Which of the following goals is appropriate for a patient with a nursing diagnosis of Constipation? The patient increases the intake of:
1) Milk and cheese.
2) Bread and pasta.
3) Fruits and vegetables.
4) Lean meats.
The nurse needs to note the source of the patient health history
"Visual Acuity Testing, Assessing Distance Vision
Selected Drugs for Inflammatory Bowel Disease and Irritable Bowel Syndrome
Examples of endocrine disorders. (B) A patient with a goiter.
Head of a patient with tertiary syphilis.
Patient Physical Status Classification