A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. How should the nurse proceed?

Consider this finding as normal, and proceed with the examination.

Describe this dullness as indicative of an enlarged liver, and refer him to a physician.

Document the presence of hepatomegaly.

Ask additional health history questions regarding his alcohol intake.

Answer and Explanation

The Correct Answer is B

A. Normal finding: This is not a normal finding. Dullness in this area could indicate an enlarged liver (hepatomegaly), which requires further evaluation.

B. Enlarged liver: Dullness above the right costal margin, especially around 11 cm, is often associated with hepatomegaly. The nurse should refer the patient to a physician for further investigation.

C. Hepatomegaly: While the finding could suggest hepatomegaly, the diagnosis should be confirmed by a physician. The nurse should refer the patient for further evaluation.

D. Alcohol intake: While it is relevant to ask about alcohol intake in the context of liver health, the immediate action is to refer the patient for further examination by a physician.

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Correct Answer is {"dropdown-group-1":"A"}

Explanation

Claudication due to arterial abnormalities in

Rationale: Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It is characterized by muscle pain or cramping in the lower extremities, typically triggered by exercise and relieved by rest. The pain occurs due to ischemia, or reduced blood flow, resulting from partial arterial obstruction.

A. Consider this a normal capillary refill time that requires no further assessment. B. Consider this a delayed capillary refill time, and investigate further. C. Ask the patient about a history of frostbite. D. Suspect that the patient has venous insufficiency.

Correct Answer is B

Explanation

A. Capillary refill time greater than 2 seconds is abnormal and requires further assessment.

B. A capillary refill time of 5 seconds indicates delayed peripheral perfusion and warrants further investigation.

C. While frostbite can cause delayed refill, it is less likely than vascular insufficiency in this scenario.

D. Delayed capillary refill is more often associated with arterial, not venous, insufficiency.

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A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. How should the nurse proceed?

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"A"}

Explanation

The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?

Correct Answer is B

Explanation

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