During an abdominal assessment, the nurse is unable to hear bowel ...

[renzo156]

During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. Before reporting this finding as silent bowel sounds, the nurse should listen for at least:
 
  a. 1 minute.
  b. 5 minutes.
  c. 10 minutes.
  d. 2 minutes in each quadrant.

Question 2

The nurse is reviewing the assessment of an aortic aneurysm. Which of these statements is true regarding an aortic aneurysm?
 
  a. A bruit is absent.
  b. Femoral pulses are increased.
  c. A pulsating mass is usually present.
  d. Most are located below the umbilicus.

[chinwesucks]

Answer to Question 1

ANS: B
Absent bowel sounds are rare. The nurse must listen for 5 minutes before deciding that bowel sounds are completely absent.

Answer to Question 2

ANS: C
Most aortic aneurysms are palpable during routine examination and feel like a pulsating mass. A bruit will be audible, and femoral pulses are present but decreased. Such aneurysms are located in the upper abdomen just to the left of midline.

[renzo156]

Gracias!

[tuate]

TYSM