A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

Lower right quadrant

Upper right quadrant

Upper left quadrant

Lower left quadrant

Answer and Explanation

The Correct Answer is D

A. Lower right quadrant pain is often associated with appendicitis or other conditions, not typically diverticular disease.
B. Upper right quadrant pain is usually related to liver, gallbladder, or duodenal issues.
C. Upper left quadrant pain is more common with conditions like gastritis or pancreatic disorders.
D. Lower left quadrant pain is characteristic of diverticular disease, particularly diverticulitis, where inflammation occurs in the sigmoid colon.

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Correct Answer is C

Explanation

A. Physical therapy is generally appropriate and beneficial post-surgery for mobility and rehabilitation.
B. A low-sodium diet is often recommended for heart health but is not specific to pacemaker insertion.
C. MRI of the chest should be clarified because the magnetic fields from MRI machines can interfere with the pacemaker’s function.
D. Serum cardiac enzyme levels are relevant for monitoring heart function and are appropriate.

A. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg B. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg C. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg D. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg

Correct Answer is C

Explanation

A. This set shows a low pH, normal HCO3-, and high PaCO2, indicative of respiratory acidosis, not typical for chronic kidney disease.
B. This set shows a high pH, elevated HCO3-, and low PaCO2, indicative of metabolic alkalosis, which is not characteristic of chronic kidney disease.
C. Chronic kidney disease often leads to metabolic acidosis with low pH, low HCO3-, and normal or low PaCO2 as the kidneys fail to excrete acid effectively.
D. This set shows a high pH and low HCO3-, with a near-normal PaCO2, which does not align with the typical metabolic acidosis seen in chronic kidney disease.

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A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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