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.
Assessing for Bulge Sign, Observing for Fluid
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