HESI Community Latest Questions And Answers Rated 100% Correct
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Course
Community Health HESI
Institution
Community Health HESI
A nurse is preparing to auscultate for the presence of bowel sounds in a client who has just
undergone surgery. The nurse places the stethoscope in which abdominal quadrant first?
-:- right lower quadrant - use the diaphragm end piece, because bowel sounds
are relatively high pitched
Bowel so...
HESI Community Latest Questions And
Answers Rated 100% Correct
A nurse is preparing to auscultate for the presence of bowel sounds in a client who has just
undergone surgery. The nurse places the stethoscope in which abdominal quadrant first?
-:- right lower quadrant - use the diaphragm end piece, because bowel sounds
are relatively high pitched
Bowel sounds are hypoactive (low-pitched) or entirely absent after
-:- abdominal surgery or with inflammation of the peritoneum.
Bowel sounds are high pitched,
-:- gurgling, cascading sounds, occurring irregularly between five and 30 times a
minute.
When assessing for costovertebral angle tenderness, the nurse is checking for
-:- kidney tenderness.
Sharp pain that occurs on percussion of the costovertebral angle indicates
nurse places one hand over the 12th rib, at the costovertebral angle, on the
back.
A nurse is performing an abdominal assessment of a client with suspected cholecystitis.
Which of the following findings does the nurse expect to note if cholecystitis is present?
-:- Murphy Sign
The Murphy sign is an indicator of
-:- gallbladder disease. The client is asked to inhale while the examiner's fingers
are hooked under the liver border, at the bottom of the rib cage. Inspiration
causes the gallbladder to descend onto the fingers, producing pain if the
gallbladder is inflamed.
The Homan sign is
-:- pain in the calf area on sharp dorsiflexion of the client's foot.
The Blumberg sign is the presence of
-:- rebound tenderness on palpation of the abdomen. Rebound tenderness is a
reliable sign of peritoneal irritation.
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