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Nurs 3100 Exam 3 questions well answered to passed
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Nurs 3100 Exam 3 questions well answered to passed
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Nurs 3100 Exam 3 questions wellanswered to passed
When performing an abdominal examination on a client, which assessment technique should the nurse
perform first?
- auscultation
- palpation
- percussion
- inspection - correct answer ✔✔inspection
A nurse assesses a client with a distended abdomen. Which action by the nurse demonstrates the
correct way to assess the client for ascites?
-auscultate for bowel sounds in all 4 quadrants
-palpate the abdomen lightly for areas of tenderness
-inspect the abdominal skin for vascularity
-percuss the flanks from the bed upward toward the umbilicus - correct answer ✔✔percuss the flanks
from the bed upward toward the umbilicus
Which action by the nurse will facilitate relaxation of the abdominal muscles during examination of the
abdomen?
-raise the client's arms or fold them behind the head
-avoid the use of a pillow behind the head during examination
-provide privacy to the client and instruct them to relax
-flex the client's legs by placing a pillow under the knees - correct answer ✔✔flex the client's legs by
placing a pillow under the knees
, A nurse cares for a client with a distended abdomen due to peritonitis. Which parameter should the
nurse measure to assess improvement?
- auscultate for bowel sounds
- palpate the abdomen
- measure abdominal girth
- perform percussion for tympany - correct answer ✔✔measure abdominal girth
A nurse observes tenderness over the costovertebral angle on the right side. The nurse recognizes this as
an abnormal finding for which organ?
- gallbladder
- liver
- spleen
- kidney - correct answer ✔✔kidney
Which change in auscultation of bowel sounds should the nurse recognize as diagnostic of an intestinal
obstruction?
- an increase in the pitch
- no sound heard in 1 minute
- increase in the frequency of the gurgles
- a soft click every 5-15 seconds - correct answer ✔✔an increase in the pitch
During the abdominal exam, the nurse supports the client's right knee and ankle, flexing the client's hip
and rotating the leg internally and externally. At this point, the client reports pain in the RLQ. This test is
positive for which sign?
- Rovsing's
- Obturator
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