Exam 19: Abdomen

The nurse is caring for a client with hepatitis A virus.The client requests information about how the virus is transmitted.Which of the following statements by the nurse is the best response?

The nurse is interviewing a 79-year-old Hispanic client with complaints of recent weight loss,anorexia,and epigastric pain.The client reports recent use of "mints" for stomach upset.Which of the following interventions are appropriate?

The nurse is assessing a client in the Emergency Department with complaints of right lower quadrant pain.The nurse determines that the client is exhibiting a positive psoas sign.The nurse accurately suspects that which of the following conditions or problems may be occurring?

The client was recently admitted to the hospital with left lower quadrant pain.The client states,"It feels like my belly is cramping." Guarding is noted during the abdominal examination.During the focused interview,the client admitted to experiencing a significant amount of occupational stress.The nurse reviews the information included in the chart above and determines that the client has developed a specific condition.Which of the following statements by the client is most consistent with this condition?

The nurse is performing an abdominal assessment on a client who had been previously diagnosed with cirrhosis.As the nurse inspected the client's abdomen,the nurse suspected that the client had developed ascites.The nurse would perform which of the following nursing interventions as a result of this finding?

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.The nurse would suspect that the infant has developed which of the following conditions?

A client asks the nurse,"What's the purpose of a gall bladder anyway? My mom lived for many years without her gallbladder after she had to have it taken out." Which of the following information would be beneficial for the nurse to share with this client?

The student nurse is preparing to examine a client who is complaining of left lower quadrant abdominal pain.The experienced nurse is observing the student nurse's abdominal assessment.Which of the following statements by the student nurse would indicate that the student nurse requires further education?

The client is 14 years old and is visiting the healthcare provider's office with abdominal pain.The client states,"The pain is sort of all over my belly.I can't really find one place that hurts more than another area." Based on the nurse's understanding about disorders of abdomen and associated symptomatology,the nurse will expect to discover that which of the following nursing diagnoses can most likely be applied to this client's plan of care?

The student nurses are preparing educational presentations regarding the Healthy People 2020 objectives.The nursing instructor is reviewing the topics of their presentations.Which of the following topics are appropriate and related to the objectives?

The nurse is palpating the left upper quadrant of a client's abdomen.Which of the following organs may be assessed during this portion of the assessment?

The nurse is preparing to perform an abdominal assessment.The client states,"Can you point to where my appendix is located?" Draw an arrow to the location of the client's appendix.

The nurse is completing an abdominal assessment and is percussing over the left side of the upper portion of the client's abdomen over the area of the stomach.The client states,"I haven't had my breakfast,yet." The nurse would expect to find which of the following during this part of the examination?

The nurse is performing an abdominal assessment.After percussing the abdomen,the nurse notes that the liver span is approximately 9 centimeters.Which of the following ways is an appropriate way to document this finding?

The nurse is performing an abdominal assessment on a client.During the focused interview,the client stated that he had been experiencing some abdominal pain.As the nurse assesses the client,which of the following behaviors indicates that the client may be experiencing pain or anxiety during the examination?

The pediatric nurse is preparing an educational presentation for parents of school-aged children regarding hepatitis.The nurse wishes to focus on the most common type that occurs in children.Which of the following types of hepatitis viruses would the nurse choose to focus on during this presentation?

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

The nurse is completing discharge instructions for a client admitted with esophagitis.Which of the following statements by the client indicate that the client requires further education?

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.In which of the following ways would the nurse accurately document this finding?

The nurse is documenting the findings of an abdominal assessment on a client and documents the following information,"pain noted during palpation at McBurney's point." In which of the following ways did the nurse elicit this response?