An older adult patient is admitted to the hospital with blunt trauma to the abdomen after an auto ...

An older adult patient is admitted to the hospital with blunt trauma to the abdomen after an auto accident. Which finding may indicate intra-abdominal bleeding?
 
  1) Borborygmi
  2) Everted umbilicus
  3) Visible peristaltic waves
  4) Discoloration around the umbilicus

Question 2

Which is the normal liver span at the midclavicular line?
 
  1) 3 to 6 cm
  2) 4 to 8 cm
  3) 6 to 12 cm
  4) 12 to 16 cm

Question 3

Which is a term that indicates hyperactive peristalsis?
 
  1) Succession splash
  2) Venous hum
  3) Friction rub
  4) Scratch test

Question 4

While inspecting the adolescent patient's abdomen, the nurse may see aortic pulsations in which area?
 
  1) Epigastric
  2) Right inguinal
  3) Hypogastric
  4) Left lumbar

Question 5

Which sound would the nurse expect to elicit when percussing the liver?
 
  1) Resonance
  2) Hyperresonance
  3) Dullness
  4) Tympany

Question 6

The nurse is providing care for an adult patient admitted to the hospital with hepatic cirrhosis. Auscultation of the abdomen is included in the assessment.
 
  Which sound suggests increased collateral circulation between the portal and the systemic venous systems?
  1) Bruit
  2) Borborygmi
  3) Friction rub
  4) Venous hum

Question 7

The nurse auscultates for bowel sounds. What is the normal frequency of bowel sounds?
 
  1) Every 5 to 15 seconds
  2) Every 15 to 30 seconds
  3) Every 30 to 60 seconds
  4) Every 5 to 7 minutes