Difficulty: Medium
Average Score: 72%
Simulated
A nurse is reviewing the medical record of a client. These are the medical reports; Hypoactive bowel sounds upon auscultation, abdomen soft, not distended on palpation and urinary output of 130mL/4hr. Which of the following findings should the nurse report to the provider?
Correct answer
D
Rationale
The correct answer is D: Bowel sounds. The nurse should report the hypoactive bowel sounds to the provider because this could indicate a potential issue with gastrointestinal motility, which can lead to complications such as bowel obstruction. The soft abdomen and normal urinary output suggest that the client's fluid balance and renal function are relatively stable, making choices A (Urine specific gravity) and B (Prealbumin) less urgent to report. Temperature (Choice C) is important to monitor but in this case, the abnormal bowel sounds take precedence.