A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

Liver enlargement

Spleen enlargement

Ovarian infection

Kidney inflammation

Answer and Explanation

The Correct Answer is D

A. Liver enlargement: Pain from liver enlargement is typically felt in the right upper quadrant, not along the costovertebral angle.

B. Spleen enlargement: Splenic pain is usually located in the left upper quadrant, not in the costovertebral area.

C. Ovarian infection: Pain from ovarian infection is typically felt in the lower abdomen or pelvis, not the back.

D. Kidney inflammation: Pain along the costovertebral angles often indicates kidney inflammation or infection, such as pyelonephritis.

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Correct Answer is B

Explanation

A. Normal finding: This is not a normal finding. Dullness in this area could indicate an enlarged liver (hepatomegaly), which requires further evaluation.

B. Enlarged liver: Dullness above the right costal margin, especially around 11 cm, is often associated with hepatomegaly. The nurse should refer the patient to a physician for further investigation.

C. Hepatomegaly: While the finding could suggest hepatomegaly, the diagnosis should be confirmed by a physician. The nurse should refer the patient for further evaluation.

D. Alcohol intake: While it is relevant to ask about alcohol intake in the context of liver health, the immediate action is to refer the patient for further examination by a physician.

A. Air conduction greater than bone conduction. B. Bilateral hearing loss. C. No lateralization of vibrations. D. unilateral hearing loss.

Correct Answer is C

Explanation

A. Air conduction greater than bone conduction: This is tested with the Rinne test, not the Weber test.

B. Bilateral hearing loss: This is not a normal finding in the Weber test.

C. No lateralization of vibrations: In a normal Weber test, the vibrations are heard equally in both ears, indicating no conductive or sensorineural hearing loss.

D. Unilateral hearing loss: This would be abnormal and suggest hearing impairment in one ear.

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A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. How should the nurse proceed?

Correct Answer is B

Explanation

A nurse performs the Weber test on a healthy adult client. The nurse would expect which of the following normal finding?

Correct Answer is C

Explanation

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