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 A
Explanation
A. A diet high in protein is essential for maintaining skin integrity and promoting wound healing, as protein helps to maintain tissue strength and repair.
B. Massaging bony prominences is not recommended because it can cause further damage to the skin and underlying tissues.
C. The client should be repositioned every 2 hours to prevent pressure sores, not every 3 hours.
D. Cornstarch should not be used because it can cause skin irritation and lead to fungal infections. Powder-based products should be avoided on fragile skin.
Correct Answer is C
Explanation
A. While some providers may charge high fees, overcharging is not the primary factor contributing to the overall increase in health care spending.
B. Inflation does affect the cost of health care, but the primary driver is the aging population and the increased demand for services.
C. The aging population requires more complex and long-term care, including multiple medications, which significantly contributes to the rise in health care spending.
D. While the uninsured population is growing, the rise in health care spending is more closely tied to the increased needs of the elderly population.
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