A nurse is receiving a patient from the emergency room.

To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.

leg pain

indigestion

headache

pruritus of the skin

nausea

vomiting

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}

Indigestion: This is a common symptom related to abdominal issues, and the nurse should assess it.

Nausea: Often indicates gastrointestinal distress and is important to evaluate.

Vomiting: A critical symptom that can signify a range of abdominal problems and warrants further assessment.

Non-essential:

Leg pain: Not typically associated with abdominal problems, making it non-essential for this assessment.

Headache: While it can be related to many conditions, it is not directly tied to abdominal problems.

Pruritus of the skin: Generally unrelated to abdominal symptoms, making it non-essential for this specific assessment.

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Correct Answer is B

Explanation

A. Auscultating the area may not provide information about the dorsalis pedis pulse, which is a palpated pulse.

B. Using Doppler ultrasonography is the most appropriate next step to locate the dorsalis pedis pulse if it cannot be palpated, as it provides a non-invasive way to detect blood flow.

C. While documenting the absence of the pulse is necessary, it should be done after attempts to locate the pulse have been made.

D. It is not immediately necessary to ask a provider to assess the pulse; the nurse can use Doppler ultrasonography first to gather more information.

A. Nodules B. Fremitus C. Tenderness in soles of feet D. Joint swelling

Correct Answer is D

Explanation

A. Nodules, specifically rheumatoid nodules, can occur in RA, but they are not typically an early manifestation.

B. Fremitus is related to lung assessment and is not a manifestation of rheumatoid arthritis.

C. Tenderness in the soles of the feet is not a classic early manifestation of RA.

D. Joint swelling is one of the hallmark early signs of rheumatoid arthritis due to inflammation of the synovial membranes.

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A nurse is receiving a patient from the emergency room. To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

Correct Answer is B

Explanation

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which change is a manifestation of RA?

Correct Answer is D

Explanation

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A nurse is receiving a patient from the emergency room.

To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.