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Abdomen Lecture Questions/Answers
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- Denver School Of Nursing
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A 74 year-old female presents to her PCP complaining of “abdominal pain for 2 weeks.” Whatis a priority question or statement?
a.“When was your last menstrual period?”
b.“What have you eaten in the last 48 hours?”
c.“Point to where the pain hurts the most.”
d.“Do you have a family history of appendicitis?”
A 27-year-old client comes to the E.D. complaining of abdominal pain. The nurse should first:
a.Perform a focused abdominal assessment starting with interview and inspection
b.Perform deep palpation to assess for rebound tenderness.
c.Perform a brief head-to-toe assessment because it may not be just an abdominal problem.
d. Draw white blood cell (WBC) count to assess for infection.
How should the nurse prepare for the abdominal exam? Select All That Apply.
a)Assist the client into a high-Fowler’s position
b)Maintain a cool environment to promote relaxation.
c)Ask the client to empty their bladder.
d)Straighten the client’s legs out.
e)Expose the abdomen by pulling the gown down from the neck.
A client presents to their primary care provider with “abdominal pain.” Review of the medical
record reveals a history of urinary tract infection and constipation. After bringing the patient to the examination room, what should the nurse do first?
a)Obtain a full pain assessment.
b)Percuss the costovertebral angles.
c)Palpate the suprapubic area.
d)Auscultate bowel sounds.
During examination of the abdomen, the nurse is unable to palpate the spleen. What should the nurse do next?
a.Document a history of splenectomy.
b.Continue with the examination.
c.Notify the provider to request radiographic imaging.
d.Percuss to identify splenic borders.
Which situation is most likely to result in hyperactive bowel sounds? Select All That Apply.
a.Early bowel obstruction.
b.Laxative use.
c.Older age.
d.Peritonitis.
e.1 hour post colectomy.
f.Gastroenteritis.
A client presents to urgent care with “abdominal pain that started yesterday.” Past medical history includes HTN, obesity, and GERD. What is the priority assessment finding?
a)Nonpalpable aortic pulsation.
b)Rounded abdominal contour.
c)Inverted umbilicus.
d)Visible peristaltic waves
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