(NGN)MED SURG RN EXIT EXAM 2024/LATEST NEWEST VERSION WITH 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/ALREADY GRADED A+

(NGN)MED SURG RN EXIT EXAM 2024/LATEST NEWEST VERSION WITH 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/ALREADY GRADED A+ 3.A 61-year-old patient with suspected bowel obstruction has had a nasogastric tube inserted at 4:00 am. The nurse shares in the morning report that the day shift staff should check the tube for patency at which of the following times? A) 7:00 am, 10:00 am, and 1:00 pm B) 8:00 am and 12:00 pm C) 9:00 am and 3:00 pm D) 9:00 am, 12:00 pm, and 3:00 pm: B) 8:00 am and 12:00 pm RATIONALE:A nasogastric tube should be checked for patency routinely at 4-hour intervals. Thus if the tube were inserted at 4:00 am, it would be due to be checked at 8:00 am and 12:00 pm. 5.After 20 seconds of auscultating for bowel sounds on a client recovering from abdominal surgery, the nurse hears nothing. Which of the following should the nurse do based on the assessment findings? a) Listen longer for the sounds. b) Call the physician to report absent bowel sounds. c) Document that the client is constipated. d) Return in 1 hour and listen again to confirm findings.: A) Listen longer for sounds RATIONALE Auscultation is used to determine the character, location, and frequency of bowel sounds. The frequency and character of sounds are usually heard as clicks and gurgles that occur irregularly and range from 5 to 35 per minutes. Normal sounds are heard about every 5 to 20 seconds, whereas hypoactive sounds can be one or two sounds in 2 minutes. Postoperatively, it is common for sounds to be reduced; therefore, the nurse needs to listen at least 3 to 5 minutes to verify absent or no bowel sounds.