NCLEX-PN

Category - Physiological Adaptation

The nurse is assessing a client who is admitted with a diagnosis of gastroenteritis. When auscultating the client’s abdomen, which of the following findings should the nurse expect?
  1. 3 bowel sounds per minute
  2. Absent bowel sounds
  3. 43 bowel sounds per minute
  4. 20 bowel sounds per minute
Explanation
Answer: C - A client with gastroenteritis is most likely to demonstrate more than 34 bowel sounds per minute, or hyperactive bowel sounds. The normal bowel sounds per minute is between 5 and 34.
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