Exam 20: Abdomen

The nurse is completing discharge instructions for a client admitted with esophagitis. Which client statements indicate the need for further education? Select all that apply.

The nurse is performing an abdominal assessment on an infant. The nurse notes that the umbilicus is bulging and has been displaced slightly to the left of midline. Based on this data, which diagnosis does the nurse anticipate?

The client was recently admitted to the hospital with left lower quadrant pain. The client states, "It feels like my belly is cramping." During the focused interview, the client admitted to experiencing a significant amount of occupational stress. Guarding is noted during the abdominal examination. The nurse reviews the medical record (see chart below)and concludes that the client has developed a diverticulitis. Which client statement supports this conclusion by the nurse?

A client asks the nurse, "What's the purpose of the liver?" Which statements will the nurse include in the response to this client's question? Select all that apply.

The nurse is mapping the client's abdomen into four quadrants. Which landmarks would the nurse use to perform this assessment? Select all that apply.

A client asks the nurse, "What's the purpose of a gallbladder anyway? My mom lived for many years without her gallbladder." Which information would be beneficial for the nurse to share with this client?

The nurse is performing an abdominal assessment on a client who had been previously diagnosed with cirrhosis. The nurse inspected the client's abdomen and notes ascites. Based on this data, which interventions will the nurse perform next? Select all that apply.

A client tells the nurse they are frequently under a great deal of stress. Which common gastrointestinal disorder should the nurse recognize the client is at risk for? Select all that apply.

The nurse is performing reviewing the risk factors for colorectal cancer with a client. Which information should the nurse include? Select all that apply.

The nurse is performing an abdominal assessment on the client. Rank the assessment steps in the order in which they should occur. A) Percuss the abdomen. B) Visualize the quadrants of the abdomen. C) Palpate the abdomen. D) Auscultate the abdomen. E) Encourage the client to void.

The nurse is assessing a client in the emergency department (ED)who complains of right lower quadrant pain. The nurse determines that the client is exhibiting a positive psoas sign. Based on the client's assessment data, which conditions does the nurse suspect? Select all that apply.

The nurse is palpating the right upper quadrant of a client's abdomen. Which organs may be assessed during this portion of the assessment? Select all that apply.

The nurse is preparing to assess a client newly diagnosed with stomach cancer. Which assessment findings should the nurse anticipate? Select all that apply.

The nurse documents "pain noted during palpation at McBurney's point." Which describes the techniques used during the assessment?

The nurse is assessing a client with reports of right upper quadrant pain that radiates toward the right upper portion of the back. The client states, "This has been happening more often after I eat rich, high-fat foods." Which question should the nurse include in the history?

A client asks the nurse where their appendix is. Which response should the nurse provide?

The nurse is caring for a client diagnosed with the hepatitis A virus. The client requests information about how the virus is transmitted. Which statement by the nurse is appropriate?

The nurse is performing an abdominal assessment on a client. While the nurse is palpating the lower border of the liver, the nurse asks the client to take a deep breath and hold it. The client complains of a sharp pain located in the right upper quadrant. How will the nurse document this finding in the medical record?

The nurse is interviewing an older adult Hispanic client who complains of recent weight loss, anorexia, and epigastric pain. The client reports recent use of "mints" for stomach upset. Based on this assessment data, which interventions are appropriate for this client? Select all that apply.

The nurse is preparing to assess the abdomen of a client suspected of having an appendicitis. Which should the nurse include in the plan for the abdominal assessment?