A nurse is completing a client assessment for admission to the medical unit. Which of the following abdominal assessment findings require further investigation by the nurse?
Bilateral bowel sounds in lower quadrants
Symmetrical convex sphere shape
Ecchymosis
Concave umbilicus
The Correct Answer is C
A. Bilateral bowel sounds in the lower quadrants are normal and do not require further investigation unless they are abnormal in frequency or tone.
B. A symmetrical convex sphere shape of the abdomen can be a normal finding, especially in a well-nourished individual.
C. Ecchymosis (bruising) may be a sign of trauma, bleeding disorders, or other underlying health conditions that require further investigation.
D. A concave umbilicus may be normal or could indicate a past surgical history or conditions like malnutrition, but it doesn't inherently require investigation unless associated with other symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.
B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.
C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.
D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.
Correct Answer is B
Explanation
A. The Administration for Children and Families primarily handles welfare and family support programs, not HIPAA administrative provisions.
B. The Centers for Medicare and Medicaid Services (CMS) is responsible for implementing and administering many aspects of HIPAA related to health care providers, insurers, and payment systems.
C. The Social Security Administration manages social security programs but does not handle HIPAA administrative provisions.
D. The Health Resources and Services Administration is focused on improving access to health care for underserved populations, not directly responsible for HIPAA administration.
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