A nurse is precepting a new graduate nurse on the telemetry unit. The new graduate nurse is preparing to perform an abdominal assessment on a hospitalized client without a history of gastrointestinal abnormalities. Click to indicate the corresponding number for each of the following assessment techniques in order of performance.
Percussion
Inspection
Palpation
Auscultation
The Correct Answer is {"A":{"answers":"D"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"}}
Assessment Technique |
1 |
2 |
3 |
4 |
Percussion |
|
|
|
✅ |
Inspection |
✅ |
|
|
|
Palpation |
|
|
✅ |
|
Auscultation |
|
✅ |
|
|
Rationale:
Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Murphy sign: This is used to assess for gallbladder inflammation, not appendicitis.
B. Shifting dullness: This is used to detect ascites, not appendicitis.
C. Obturator test: This test involves flexing the patient's right hip and knee and rotating the leg internally, causing pain if the appendix is inflamed.
D. Blumberg sign: This test for rebound tenderness indicates peritoneal irritation, commonly associated with appendicitis.
E. Iliopsoas muscle test: This test involves extending the right leg against resistance, which can elicit pain in cases of appendicitis.
F. Fluid wave: This is used to assess for ascites, not appendicitis.
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.
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