NUR 210 final exam 2024 Latest Update Correct 100%

infection - ANSWER While assessing a client's abdomen, the nurse observes involuntary reflex guarding on expiration. The nurse would interpret this as most likely indicating what complication? An increase in the pitch - ANSWER Which change in auscultation of bowel sounds should the nurse recognize as most diagnostic of an intestinal obstruction? Ask the client to breathe slowly and deeply - ANSWER The nurse is performing light palpation of the client's abdomen. How can the nurse best prevent voluntary guarding during this phase of assessment? ureteral stone - ANSWER Linda is a 29-year-old who had excruciating pain that started under her lower ribs on the right side. The pain eventually moved to her lateral abdomen and then into her right lower quadrant. Which is most likely given this presentation? "I should avoid lifting heavy objects." - ANSWER The nurse provides teaching to a client with gastroesophageal reflux disease (GERD). Which client statement indicates that teaching has been effective? Renal calculi Kidney infection Hydronephrosis - ANSWER A client expresses pain when the left costovertebral angle is palpated. What should the nurse suspect is occurring with this client? Select all that apply. Cullen's sign - ANSWER A nurse suspects intra-abdominal bleeding in a client who was recently involved in a motor vehicle accident. Which finding would most likely lead the nurse to this suspicion? absent - ANSWER A young adult male who comes to the emergency department complaining of abdominal pain for the past 3 days is suspected of having a ruptured appendix. What bowel sound would the nurse expect to assess in this client? Question the order as a barium enema is contraindicated in acute appendicitis - ANSWER The client with a acute appendicitis has been ordered a barium enema. What should the nurse do first? Ovarian tumor Impacted colon