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NurseDive Free Nursing Practice Question
A nurse is checking the client's bowel sounds. At which time should the nurse auscultate the client's abdomen?
This question is an excerpt from Nurse Dive's nursing test bank - Gastro Urinary Systems Medication Proctored Exam. Take the full exam now
Full Explanation
The nurse typically auscultates the abdomen for bowel sounds before meals or at least 1-2 hours after meals. This timing allows for the assessment of both the presence and character of bowel sounds. It is important to note that bowel sounds can vary depending on factors such as the client's activity level, diet, and any underlying gastrointestinal conditions. Therefore, a comprehensive assessment of bowel sounds should be conducted at different times to obtain an accurate representation of the client's bowel function.
Similar Questions
A nurse is reinforcing teaching with a client who has a duodenal ulcer and has a new prescription for sucralfate. Which of the following instructions should the nurse include?
A. Stop taking this medication if you develop constipation.
B. Take an antacid at the same time you take this medication
C. Take the medication on an empty stomach
D. Remain upright for 30 min after taking this medication
Full Explanation
When reinforcing teaching with a client who has a duodenal ulcer and a new prescription for sucralfate, the nurse should include the following instructions:
"Take the medication on an empty stomach.": Sucralfate is most effective when taken on an empty stomach, usually 1 hour before meals and at bedtime. Taking it with food or other medications may reduce its effectiveness.
"Remain upright for 30 minutes after taking this medication.": To enhance the efficacy of sucralfate, it is important to remain upright for at least 30 minutes after taking the medication. This helps to prevent the medication from being washed away by stomach acid and allows it to form a protective coating over the ulcer.
The following statements are incorrect or not applicable:
"Stop taking this medication if you develop constipation.": Constipation is a common side effect of sucralfate. However, abruptly stopping the medication is not necessary if constipation occurs. The nurse should instruct the client to increase fluid intake, consume a high-fiber diet, and discuss any concerns with the healthcare provider. If constipation becomes severe or persists, the healthcare provider can provide further guidance on managing this side effect.
"Take an antacid at the same time you take this medication.": Sucralfate can interact with antacids and other medications, reducing its effectiveness. It is recommended to take sucralfate at least 2 hours before or after taking antacids or other medications to avoid interference with its absorption.
A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 ml. How many ml. should the nurse administer per dose?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
To determine how many milliliters (ml) should be administered per dose, we need to calculate the dose volume using the available concentration of famotidine.
Given:
Famotidine concentration: 40 mg/5 ml
Dose: 20 mg
We can set up a proportion to solve for the volume:
40 mg / 5 ml = 20 mg / x ml
Cross-multiplying the proportion, we get:
40 mg * x ml = 20 mg * 5 ml
Simplifying, we have:
40x = 100
Dividing both sides by 40, we find:
x = 100 / 40
x ≈ 2.5 ml
Therefore, the nurse should administer approximately 2.5 ml of famotidine per dose.
A nurse is preparing to administer lactated Ringer's 1000 ml to infuse over 12 hr. The drop factor on the manual tubing is 10 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:
Volume to be infused: 1000 ml
Drop factor: 10 gtt/ml
Time: 12 hr
First, we need to convert the time from hours to minutes:
12 hr * 60 min/hr = 720 min
Now, we can calculate the infusion rate:
Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min
Simplifying the equation:
Infusion rate (gtt/min) = 10000 gtt / 720 min
Dividing both sides:
Infusion rate (gtt/min) ≈ 13.89 gtt/min
Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.