A nurse is preparing to perform an abdominal assessment on a child.
Identify the sequence the nurse should follow.

Inspection.

Auscultation.

Superficial palpation.

Deep palpation.

Answer and Explanation

The Correct Answer is A,B,C,D

A. Inspection: This is the first step as it allows the nurse to gather information through observation without causing discomfort to the child. It involves looking at the child’s abdomen for any visible abnormalities like distension, asymmetry, masses, or discoloration.
B.   Auscultation: This step follows inspection to assess bowel sounds before any manipulation of the abdomen, which could alter the sounds. The nurse listens for the presence, frequency, and character of bowel sounds.
C.   Superficial palpation: This step is performed to assess for tenderness, muscle tone, and surface characteristics. It is done gently to avoid causing pain or discomfort.
D.   Deep palpation: This is the final step to assess for any masses, organomegaly, or deep tenderness. It is performed more firmly but should be done carefully to avoid causing pain.

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Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Obtaining an influenza vaccine annually is crucial for individuals with type 1 diabetes mellitus. People with diabetes are at a higher risk of complications from infections, including influenza. The flu can lead to elevated blood sugar levels and potentially worsen diabetes control.

Therefore, getting the flu vaccine can help prevent or reduce the severity of the flu and its complications.

Choice B rationale

Administering glucagon is used for severe hypoglycemia, not hyperglycemia. Glucagon is a hormone that raises blood glucose levels by stimulating the liver to release stored glucose. It is typically used in emergency situations when a person with diabetes has very low blood sugar and is unable to consume sugar orally.

Choice C rationale

Insulin should be injected into subcutaneous tissue, not the deltoid muscle. The preferred injection sites for insulin are areas with more subcutaneous fat, such as the abdomen, thighs, buttocks, and upper arms. Injecting insulin into muscle tissue can lead to faster absorption and unpredictable blood glucose levels.

Choice D rationale

Glyburide is an oral medication used to treat type 2 diabetes, not type 1 diabetes. Type 1 diabetes requires insulin therapy because the body does not produce insulin. Glyburide works by stimulating the pancreas to release more insulin, which is not effective for individuals with type 1 diabetes who have little to no insulin production.

A. Montelukast. B. Albuterol. C. Fluticasone. D. Budesonide.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale

Montelukast is a leukotriene receptor antagonist used for long-term control and prevention of asthma symptoms. It is not a rescue medication and does not provide immediate relief during an acute asthma attack. Montelukast works by reducing inflammation and preventing bronchoconstriction, but its effects are not rapid enough to address the immediate needs of a patient experiencing an acute asthma attack.

Choice B rationale

Albuterol is a short-acting beta-agonist (SABA) that provides rapid bronchodilation and is the first-line treatment for acute asthma attacks. It works by relaxing the smooth muscles in the airways, leading to quick relief of bronchospasm and improved airflow. Administering albuterol promptly can help alleviate symptoms and prevent the progression of an asthma attack, making it the priority medication in this scenario.

Choice C rationale

Fluticasone is an inhaled corticosteroid used for long-term control of asthma. It helps reduce inflammation in the airways and prevent asthma symptoms but is not effective as a rescue medication during an acute asthma attack. Inhaled corticosteroids are typically used as part of a daily maintenance regimen to manage chronic asthma and prevent exacerbations.

Choice D rationale

Budesonide is another inhaled corticosteroid used for long-term asthma control. Like fluticasone, it helps reduce airway inflammation and prevent asthma symptoms but is not suitable for immediate relief during an acute asthma attack. Inhaled corticosteroids are

important for managing chronic asthma but do not provide the rapid bronchodilation needed in an emergency situation.

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A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.

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A nurse is preparing to perform an abdominal assessment on a child.
Identify the sequence the nurse should follow.