Final exam review 2

Front

What is the next action for a nurse when no bowel sounds are heard in a postoperative patient?

Back

Auscultate each quadrant for at least 5 minutes to confirm absent bowel sounds.

Front

Which cranial nerve is tested when a patient turns their head and shrugs their shoulders against resistance?

Back

CN XI (Accessory)

Front

What does abdominal distention and visible peristaltic waves indicate during an assessment?

Back

Bowel obstruction.

Front

What is considered a normal percussion finding in the abdomen?

Back

Tympany throughout the abdomen.

Front

What maneuver is used to test for developmental hip dysplasia until age 1?

Back

Ortolani.

Front

Define bowel sounds and their significance in nursing assessments.

Back

Bowel sounds are noises produced by the movement of the intestines; their presence or absence can indicate gastrointestinal function.

Front

What is the purpose of auscultating the abdomen?

Back

To assess bowel sounds and detect abnormalities in gastrointestinal function.

Front

Explain the significance of dullness in abdominal percussion.

Back

Dullness may indicate the presence of fluid, mass, or organ enlargement.

Front

What does hyperresonance in the abdomen suggest?

Back

It may indicate the presence of excess gas or a hollow organ.

Front

What is the Barlow maneuver used for?

Back

To assess for developmental hip dysplasia in infants.