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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Airborne precautions are not necessary for mumps. Mumps is not transmitted through airborne particles.
Choice B rationale
Standard precautions are not sufficient for mumps. Mumps requires additional precautions to prevent transmission.
Choice C rationale
Droplet precautions are necessary for mumps. Mumps is transmitted through respiratory droplets, so droplet precautions help prevent the spread of the virus.
Choice D rationale
Contact precautions are not necessary for mumps. Mumps is not transmitted through direct contact with contaminated surfaces.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Budesonide via dry-powder inhaler is a corticosteroid used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations.
Choice B rationale
Cromolyn via metered-dose inhaler is a mast cell stabilizer used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations.
Choice C rationale
Albuterol via jet nebulizer is a short-acting beta-adrenergic agonist that provides rapid bronchodilation. It is the medication of choice for immediate relief of acute asthma exacerbations.
Choice D rationale
Montelukast orally is a leukotriene receptor antagonist used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations. .
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