A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.

Use fingertips to lightly depress the right lower quadrant of the client's abdomen.

Systematically percuss the client's abdomen.

Observe the contours of the client's abdomen using a penlight

Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Answer and Explanation

The Correct Answer is D,E,C,B,A

A.   Deep palpation is the final step in an abdominal examination since it may elicit tenderness which may interfere with other aspects of examination.
B.   This is the second last step just before deep palpation. It is used to detect any obvious masses or areas of tenderness.
C.   Percussion is the third step in an abdominal examination where the nurse should percuss the client's abdomen systematically, tapping lightly on each area and noting the sound quality. It can be used to detect the presence of ascites which be stony dull on percussion.
D.   Inspection is the first step where the nurse should inspect the contours of the client's abdomen using a penlight, looking for any abnormalities or distension.

E.   Auscultation is the second step in an abdominal examination. The nurse should auscultate the client's abdomen using the diaphragm of the stethoscope, listening for bowel sounds in all four quadrants.

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Correct Answer is A

Explanation

A. Tuberculosis is an airborne infection, requiring airborne precautions to prevent transmission.
B. Pneumonia is typically transmitted through respiratory droplets and does not require airborne precautions.
C. Shigella is transmitted through the fecal-oral route and does not require airborne precautions.
D. Strep throat is typically transmitted through respiratory droplets and does not require airborne precautions.

A. Social worker B. Occupational therapist C. Speech-language pathologist D. Physical therapist

Correct Answer is B

Explanation

A. Social workers typically assist with psychosocial issues, resource management, and support services. While important, they may not have the specialized skills required for teaching eating utensil use.

B. Occupational therapists specialize in helping individuals regain the ability to perform activities of daily living, including eating, after injuries such as traumatic brain injury.
C. Speech-language pathologists focus on communication and swallowing disorders.

While they may be involved in therapy for clients with traumatic brain injury, their primary focus is not on teaching utensil use.
D. Physical therapists focus on mobility, strength, and function. While they may assist with overall rehabilitation after a traumatic brain injury, they are not specifically trained in teaching eating skills.

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A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?

Correct Answer is A

Explanation

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

Correct Answer is B

Explanation

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