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Potential cause of hypoactive bowel sounds

A patient has hypoactive bowel sounds The nurse knows that

10. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis. ANS: B Diminished or absent bowel sounds signal decreased motility from inflammation as exhibited with peritonitis, with paralytic ileus after abdominal surgery, or with late bowel obstruction Hypoactive bowel sounds are normal during sleep. They also occur normally for a short time after the use of certain medicines and after abdominal surgery. Decreased or absent bowel sounds often indicate constipation. Increased (hyperactive) bowel sounds can sometimes be heard even without a stethoscope The nurse knows that a potential cause of hypoactive bowel sounds is: diarrhea. peritonitis. laxative use. gastroenteritis. 1 points QUESTION 27 1

Hypoactive, or reduced, bowel sounds often indicate that intestinal activity has slowed down. On the other hand, hyperactive bowel sounds are louder sounds related to increased intestinal activity. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis. B. The nurse is watching a new graduate nurse perform auscultation of a patients abdomen. Which statement by the new graduate shows a correct understanding of the reason. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis. B. The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: peritonitis- Diminished or absent bowel sounds signal decreased motility from inflammation as seen with peritonitis, with paralytic ileus after abdominal surgery, or with late bowel obstruction

The nurse knows that a potential cause of hypoactive bowel sounds is: A) diarrhea Normally, one may see the pulsations from the aorta beneath the skin in the epigastric area, particularly in thin persons with good muscle wall relaxation. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: 1 The potential causes of acute abdominal pain in the older patient are numerous. Hypoactive or absent bowel sounds—sometimes normal, but combined with complaints can indicate paralytic ileus (a halt in peristaltic activity as a result of extreme irritation from obstructive peritonitis or unknown reasons). Bowel sounds cannot be said to be.

  1. 10. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis. ANS: B 11 11. The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct.
  2. 10. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis
  3. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: peritonitis A patient's abdomen is bulging and stretched in appearance. The nurse should describe this finding as: protuberan
  4. B12 absorption), iron deficiency anemia, and malabsorption of calcium. Term
  5. * A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: A) diarrhea. B) peritonitis. C) laxative use. D) gastroenteritis. B 11 * The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the.
  6. utes, and this can indicate diarrhoea, anxiety or gastroenteritis. Hyperactive bowel sounds are often found before a blockage. It is quite common to find one quadrant with hyperactive bowel sounds and one with none or hypoactive ones

Abdominal sounds: MedlinePlus Medical Encyclopedi

Hyperactive, hypoactive, or missing bowel noises may be caused by: Blocked capillary avoid the intestinal tracts from getting proper blood flow. For example, blood clots can cause mesenteric artery occlusion. Mechanical bowel obstruction is triggered by hernia, tumor, adhesions, or comparable conditions that can obstruct the intestines Compromised gut muscles may lead to reduced bowel movements and constipation. Other symptoms occur due to associated conditions. Poor feeding habits are observed with eating disorders that could be the cause of hypokalemia. Socio-economic problems, such as poverty and neglect, may be the presetting history in patients with poor intake of potassium Hyperactive, hypoactive, or missing bowel sounds may be caused by: Blocked blood vessels prevent the intestines from getting proper blood flow. For example, blood clots can cause mesenteric artery occlusion. Mechanical bowel obstruction is caused by hernia, tumor, adhesions, or similar conditions that can block the intestines Potential Problems/Complications Problem Symptoms Immediate Action Possible Causes Prevention Aspiration Heartburn or vomiting Coughing, choking Difficulty breathing and/or shortness of breath with or without chest pain, loud, wet breath sounds Rapid heart rate Agitatio

The nurse knows that a potential cause of hypoactive bowel sounds is: peritonitis **hypo means diminished bowel sounds → decreased motility due to inflammation . The nurse is watching a new grad nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation. Peristalsis is characterized by progressive wavelike movements that occur involuntarily in hollow tubes in the abdomen. Inflammatiion of the intestinal mucosa will cause hyperactive bowel sounds. (3) Treatment Rehydration. Treatment is focused on the rehydratation and an adequate nutrition, as well as slowing down the bowel transit

Abdomen

Assess potential cause of constipation (e.g., recent opioid dose increase, use of other constipating medications, or new bowel obstruction). Abdominal examination includes evaluation for rebound tenderness, guarding, hypoactive or hyperactive bowel sounds, and stool collection Absent-bowel-sounds & Acute-pancreatitis Symptom Checker: Possible causes include Acute Peritonitis. The abdomen is often distended, with hypoactive-to-absent bowel sounds. [emedicine.medscape.com] The significance of gallbladder sludge as a potential cause of acute biliary pancreatitis is debated A) 3-2-0-1-3. B) 3-1-1-1-2. C) 4-1-1-1-3. D) 4-2-1-0-2. Correct answer (s): C The nurse notes that Amanda's fasting 1 hour glucose screening level, which was done two days previously, is 158 mg/dl. 2. The nurse recognizes that what information in the client's history supports a diagnosis of gestational diabetes. Read More

A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis. ANS: B Diminished or absent bowel sounds signal decreased motility from inflammation as exhibited with peritonitis, with paralytic ileus after abdominal surgery, or with. When bowel sounds are not present, one should listen for a full 3 minutes before determining that bowel sounds are, in fact, absent. Auscultation for abdominal bruits is the next phase of abdominal examination. Bruits are swishing sounds heard over major arteries during systole or, less commonly, systole and diastole

Abdominal or Bowel Sounds: Symptoms and Mor

A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds: they are usually high-pitched, gurgling, irregular sounds: The nurse is performing percussion during an abdominal assessment A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. diarrhea. b. peritonitis. c. laxative use. d. gastroenteritis. b. peritonitis. The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? a Auscultation may reveal high-pitched, tinkling sounds associated with gurgles and rushes, which is in marked contrast to the hypoactive or absent bowel sounds of ileus. If obstruction is complete, patients report constipation or obstipation Background. Although recent advances in computer technology enable us to analyze gastrointestinal sounds data objectively with ease, this clinical application has been investigated in only a few disorders. To investigate one potential role of this approach in pediatric practice, we recorded and analyzed gastrointestinal sounds in infants with hypertrophic pyloric stenosis (HPS), a motility. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: A) diarrhea. B) peritonitis. C) laxative use. D) gastroenteritis. B) peritonitis. Page: 561. Diminished or absent bowel sounds signal decreased motility from inflammation as seen with peritonitis, with paralytic ileus after abdominal.

Bowel Elimination [0501], as evidenced by Comfort of stool passage Stool soft and formed Passage of stool without aids NURSING INTERVENTIONS*/SELECTED ACTIVITIES RATIONALE Constipation/Impaction Management [0450] Identify factors (e.g., medications, bed rest, diet) that may cause or contribute to constipation A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis. 11. The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen

A bowel obstruction can Clinical significance of bowel sounds therefore be the cause of both hypoactive and hyperactive It is difficult to answer the questions set out at the beginning bowel sounds, depending on whether impaired gut motility of this article from the literature review, because of conflicting is preventing sounds from being. The umbilicus is a rich source of signs. Psoriatic plaques have a predilection for the navel. Most common is the everted umbilicus (Fig. 1A,B), which occurs when raised intra-abdominal pressure and massive ascites push against an umbilical hernia. The term portal hypertension was coined in 1906 by Gilbert and Villaret, who punctured the abdomen in patients with cirrhotic ascites and found. Many conditions can cause hyperactive or hypoactive bowel sounds.Mechanical bowel obstruction is caused by hernia, tumor, adhesions, or similar conditions that can block the intestines. Paralytic ileus is a problem with the nerves to the intestines If the conduction of peristaltic sounds is good, auscultation at a single location is considered adequate. [10] Hyperactive bowel sounds may indicate bowel obstruction or gastroenteritis. Sometimes you may be able to hear a patient's bowel sounds without a stethoscope, often described as stomach growling or borborygmus. This is a common. The nurse would suspect that these are: 10. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: 11. The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen

d. Increased peristalsis from a bowel obstruction. • Question 10 A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: Answers: a. Diarrhea. b. Peritonitis. c. Laxative use. d. Gastroenteritis Normal sounds are due to peristaltic activity. *Peristalsis: A pregressice wavelike movement that occurs involuntarily in hollow tubes of the body. Normal sounds consist of clicks and gurgles. Hypoactive bowel sounds are less than 3-4 sounds a minute. Borborygmus - is the medical term for stomach growling BP 120/80 Bowel sounds decreased. RR 16 Pupils slightly,reactive. T9. 8. CLUE: 15 minutes later she has a seizure lasting 2 minutes, after which she is deeply comatose with agonal respirations. Cardiac monitor shows wide complex tachycardia with a rate of 160. BP 60/40

Health Assessment #2 Chp 21 Flashcards Quizle

bowel sounds (BS). The usual assumption is that BS correlate with peristalsis and, therefore, with the abil-ity to enterally feed. However, there are several prob-lems with this assumption. First, although this practice is often used in the clinical setting, textbooks describe BS in the setting of ileus as varying from hypoactive t Are bowel sounds normal, hyperactive, hypoactive? Is the abdomen tender to palpation? While working with the patient at the bedside, the nurse notes: Any indication of possible abdominal pain (e.g., facial grimacing while rubbing abdomen) Does the patient appear to be straining while attempting to pass stool Physical Assessment. Auscultate the abdomen for bowel sounds, if bowel sounds are present, or the patient reports they are passing flatus, clear fluids can commence and aperients can be administered. Patients must not commence oral fluids if bowel sounds are not present as this finding indicates an ileus. Assess their oral intake by monitoring.

Causes. Infection of the peritoneum can happen for a variety of reasons. In most cases, the cause is a rupture (perforation) within the abdominal wall. Though it's rare, the condition can develop without an abdominal rupture. Common causes of ruptures that lead to peritonitis include: Medical procedures, such as peritoneal dialysis Causes Most of the sounds you hear in your stomach and intestines are due to normal digestion. They are not a cause for concern. Many conditions can cause hyperactive or hypoactive bowel sounds. Most are harmless and do not need to be treated. The following is a list of more serious conditions that can cause abnormal bowel sounds. Hyperactive.

CH. 21 Flashcards Quizle

Colon cancer with hypoactive bowel sounds, distended abdomen, hypoactive bowel sounds, no bowel movement 2 days? 2 doctor answers • 2 doctors weighed in. Share. Dr. Mark Hoepfner answered. General Surgery 39 years experience. Not sure..: What your question is. Is there a known diagnosis of colon cancer? Yes advanced colon cancer care cause. Potential for liver function alterations. A. True. B. False. 4. The nurse learns a client has been taking more than three times the recommended amount of an over-the-counter pain (OTC) reliever on a daily basis for several months. Potential for alterations in pancreatic enzyme production Hypoactive bowel sounds. 25 Overall, 44% of clinicians reported that they rarely listened to bowel sounds in their training or clinical practice (), although in contrast to the surgical clinicians, all internal medicine clinicians stated they listened to it either sometimes or always.Only 1 surgical clinician (4%) reported always listening to bowel sounds as opposed to 46% of internal medicine clinicians (p = 0.002) Hypoactive bowel sounds are normal during sleep. Decreased or absent bowel sounds often indicate constipation. Increased (hyperactive) bowel sounds can sometimes be heard even without a stethoscope. Hyperactive bowel sounds mean there is an increase in intestinal activity

Hypokalemia & Hyperkalemia PPT (2)

Viral Gastroenteritis. Other potential causes of signs and symptoms that mimic those seen in gastroenteritis that need to be ruled out include appendicitis, volvulus, inflammatory bowel disease, [en.wikipedia.org] Rectal Obstruction. Twisted tape sign: its significance in recurrent sigmoid volvulus percent occurrence of internal injury and should alert the provider of possible internal injury. Bowel sounds should be auscultated for presence. Hypoactive or absent bowel sounds are associated with internal injury. Gentle palpation of the abdomen and pelvis should be performed. Any increase in pai Acute abdominal pain accounts for approximately 9% of childhood primary care office visits. Symptoms and signs that increase the likelihood of a surgical cause for pain include fever, bilious. Assess for abdominal pain, abdominal cramping, hyperactive bowel sounds, frequency, urgency, and loose stools. These assessment findings are commonly connected with diarrhea. If gastroenteritis involves the large intestine, the colon is not able to absorb water and the client's stool is very watery. Submit client's stool for culture Walden NURS3020 2020 January Week 4 Quiz Latest - Subject Education - 0074976

Bowel-distention & Hyperactive-bowel-sounds Symptom Checker: Possible causes include Intestinal Obstruction. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search Sluggish Bowel Movements - Causes and Treatment Brown Menstrual (Period) Blood and Black Vaginal Bleeding Menstrual blood is usually bright to dark red and may or may not have some clots Bradycardia & Confusion & Hyperactive Bowel Sounds Symptom Checker: Possible causes include Cholinergic Crisis. Check the full list of possible causes and conditions now! is not without potential risk, including bradycardia, convulsions, (bowel sounds may be hypoactive) or diarrhea (bowel sounds may be hyperactive)

Abdomen Flashcards Quizle

The nurse assesses the patient's abdomen and notes that there are hypoactive bowel sounds. The patient is resting quietly without nausea or vomiting. What is the appropriate action of the nurse? 14. The nurse is caring for a patient who is constipated and has not had a bowel movement for 3 days Documenting bowel sounds is based on assessment findings. The terms normal (sounds heard about every 5 to 20 seconds), hypoactive (one or two sounds in 2 minutes), hyperactive (5 to 6 sounds heard in less than 30 seconds), or absent (no sounds in 3 to 5 minutes) are frequently used in documentation Bowel sounds c. Grip strength d. Electrocardiography ANS: A A client with a low serum potassium level may exhibit hypoactive bowel sounds, cardiac dysrhythmias, and muscle weakness resulting in shallow respirations and decreased handgrips. The nurse should assess the client's respiratory status first to ensure respirations are sufficient - change in bowel habits/stool (amount or consistency) - anemia - rectal bleeding (needs to be evaluated) - c/o gas pains, cramping - constipation/straining to have BM - narrowing of the stool (may show obstruction) - may see abdominal mass (may not see if pt is obese) - hypoactive or absent BS - bowel obstructio

Chapter 22: Abdomen Flashcards Quizle

Processes which lead to intestinal obstruction initially cause frequent bowel sounds, referred to as rushes. Think of this as the intestines trying to force their contents through a tight opening. This is followed by decreased sound, called tinkles, and then silence Bowel sound findings Because Ogilvie's syndrome may cause hyperactive, hypoactive, normal, or absent bowel sounds, assessment of bowel sounds may lack diagnostic value. However, large amounts of gas trapped in the colon commonly produce tympanic sounds (hollow, drumlike reverberations) on abdominal percussion bowel sounds through percussion or palpation. Bowel sounds echo the underlying movements of the intestines. You normally hear high-pitched clicking and gurgling sounds every 5 to 15 seconds. It is suggested that you listen to bowel sounds for a full minute before determining if they are normal, hypoactive, hyperactive or absent Hypoactive bowel sounds are normal during sleep. They also occur normally for a short time after the use of certain medicines and after abdominal surgery. Ileus is a condition in which there is a lack of intestinal activity which may cause gas, fluids, and the contents of the intestines to build up and break open (rupture) the bowel wall

The slight tachycardia and hypoactive bowel sounds are clinical clues of doxylamine effect in this case. Plain abdominal radiograph and urine pregnancy test. Although lithium is not intrinsically opaque, sustained-release preparations are sometimes visualized on a plain abdominal radiograph Normal bowel sounds consist of peristaltic clicks and gurgles occurring at a rate of 5 to 34 per minute. Hypoactive bowel sounds may indicate an ileus. Hyperactive bowel sounds may indicate early intestinal obstruction. Arterial bruits with both systolic and diastolic components are abnormal sounds made by blood traveling through narrowed. Bowel sounds, which are unreliable but may be hyperactive early in an obstruction or hypoactive/absent as the bowel distends Abdominal tenderness: mild diffuse tenderness is common, but peritoneal. What is a potential cause of hypoactive bowel sounds? Definition. paralytic ileus: Term. What is the breast composed of? Definition. The breast is composed of (1) glandular tissue, (2) fibrous tissue, including the suspensory ligaments, and (3) adipose tissue

Health Assessment: Abdomen Flashcards Quizle

Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. It is a disorder that may cause abdominal bloating, gassiness, crampy abdominal pain, diarrhea (IBS-D. Hypoactive bowel sounds may be a clue to a paralytic ileus or peritonitis. High-pitched bowel noises may be indicative of intestinal fluid and air under pressure in a dilated bowel. High-pitched noises that go along with the complaint of cramping may indicate intestinal obstruction Hypoactive bowel sounds occur less often and may indicate an inflammatory process such as peritonitis. Both hyper- and hypoactive bowel sounds may be an indication of deterioration. Percussion can help you assess for tympanic resonance caused by air-filled areas or dull sounds that may be present over solid masses C) Hypoactive bowel sounds. D) Shortened ST segment. A patient's lab work shows that they have a high parathyroid hormone level. Which of the following conditions is the patient at risk for? A) Hypercalcemia. B) Hypocalcemia. C) Hypokalemia. D) Hyperkalemia. A patient's calcium level is 11.2

Intestine Sound - an overview ScienceDirect Topic

  1. al quadrants c. High-pitched, rushing bowel sounds in the right lower quadrant d. Reports of abdo
  2. Normally, the bowel contains many nerve cells all along its length that control how the bowel works. When the bowel is missing nerve cells, it does not work well. This damage causes blockages in the bowel because the stool does not move through the bowel normally. Most often, the areas missing the nerve cells are the rectum and the sigmoid colon
  3. al distention and pain. Practical Suggestions to Reduce GI Discomfort While Recovering. It is advisable to see a physician to evaluate the many causes of gastrointestinal distress. Although many symptoms mentioned resolve with normal eating, it is.
  4. Potential cause of seizure activity ; Physical Exam. Anticholinergic Toxidrome may be present. Physical exam findings include: mydriasis, dry and hot skin, urinary and bowel retention, hyperthermia, xerostomia, tachycardia and AMS (disorientation, confusion) Pulmonary: Coarse breath sounds in the setting of ARDS ; Cardiovascular. Hypotension.
  5. utes

chapter 21 Flashcards by Emmanuela Charles Brainscap

  1. Introduction. Bowel injury after blunt trauma to the abdomen is a relatively rare phenomenon that can often result in significant morbidity and mortality 1.In addition, injury to the small bowel after a traumatic event is very often overlooked and can lead to significant clinical sequela 2, 3.Patients with bowel injury often require rapid surgical intervention and intensive care unit (ICU.
  2. Possible Causes for absent bowel sounds, ascites. Acute Peritonitis. The abdomen is often distended, with hypoactive-to- absent bowel sounds. [emedicine.medscape.com] The treatment failed to slow the progress of the disease, and massive ascites appeared with thickening of the gallbladder wall. [ncbi.nlm.nih.gov
  3. al surgery
  4. Use clinical findings to predict potential causes of toxic syndromes Bowel sound hypoactive Bowel sounds hyperactive Incontinent of bowel and bladder CHOLINERGIC SYNDROME Excess acetylcholine at muscarinic and nicotinic receptors Dx: Organophosphate insecticide.
  5. al distention with hypoactive bowel sounds. In addition, sometimes patients experience gas pains, which may be an early manifestation of partial small bowel obstruction or may be related to ileus involving the colon
  6. Diabetes is a metabolic syndrome where the blood sugar levels become higher than normal, which can cause a range of symptoms. It occurs when the pancreas fails to produce enough or any insulin to move glucose into the cells in our body. This causes a buildup of sugars in the blood. It can be separated into several conditions

Flashcards - quiz 2 final - FreezingBlu

Reduced bowel sounds Reduced (hypoactive) bowel sounds include a reduction in the loudness, tone, or regularity of the bowel sounds. They indicate a slowing of intestinal activity. Hypoactive bowel sounds are normal during sleep, and also occur normally for a short time after the use of certain medications and after abdominal surgery (Marieb. Aortic aneurysm and bowel ischaemia are more prevalent in the elderly. Angiodysplasia of the colon is more common and can cause GI haemorrhage. Medical causes of abdominal pain are encountered more frequently. The 'Top 5' medical causes of an acute abdomen to consider in older patients are: Inferior myocardial infarction This may cause too much bleeding and blood loss, or the bowel contents to leak. You could get an infection during or after surgery. You may get a blood clot in your leg or arm. This can cause pain and swelling, and it can stop blood from flowing where it needs to go in your body. The blood clot can break loose and travel to your lungs or brain • Hypoactive bowel sounds—bowel obstruction, opioids. There are numerous potential causes of an acute abdomen because the abdominal cavity contains a number of different organs and structures. Due to the potentially life-threatening nature of many of these causes, immediate medical referral is needed.. Click for pdf: Approach to Pediatric abdominal pain General Presentation BACKGROUND Abdominal pain in a child is one of the most common presentations with both trivial and life-threatening etiologies, ranging from functional pain to acute appendicitis. The majority of pediatric abdominal complaints are relatively benign (e.g. constipation), but it is important to pick up on the [

Inflammatory bowel disease. This is inflammation of the dog's intestines which interferes with digestion. Some dogs have underlying gastrointestinal disease like inflammatory bowel disease or infiltrative neoplasia that can cause severe gastrointestinal signs, Fox. says. Pancreatitis As a rule, a CT scan will demonstrate an ileus pattern of the small bowel, and a bowel wall edema . When pneumatosis intestinally is present, this is a late sign of infarcted bowel ( fig. 2 ). When ischemia of the intestines is expected, in the face of normal or non-diagnostic CT scan, three-vessel abdominal angiogram should be performed A patient who presents with a small bowel obstruction with no history of prior surgery should prompt a search for underlying causes such as tumor or hernia as the cause. Physical Exam. Physical examination findings include abdominal distension (more prevalent in distal obstructions), hyperactive bowel sounds (early), or hypoactive bowel sounds. Use this nursing diagnosis guide to help you create nursing interventions for diarrhea nursing care plan.. Diarrhea is an increase in the frequency of bowel movements, as well as the water content and volume of the waste. It may arise from a variety of factors, including malabsorption disorders, increased secretion of fluid by the intestinal mucosa, and hypermotility of the intestine Dextromethorphan (DXM) is a noncompetitive NMDA-receptor antagonist that acts by reducing excitatory transmission of primary afferent pathways and is effective in managing challenging neuropathic/wind-up pain in patients who, for a variety of reasons, may be unable to receive ketamine. From: Practical Management of Pain (Fifth Edition), 2014 Vitals showed a temperature of 97.2°F, a blood pressure of 111/70 mmHg, a pulse of 87 beats per minute, respiratory rate of 20 respirations per minute, and oxygen saturation of 97%. Abdominal exam was significant for hypoactive bowel sounds, mild distension, guarding, tympany on percussion, and diffuse tenderness to palpation