A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

Right Upper Quadrant

Right Lower Quadrant

Left Upper Quadrant

Left Lower Quadrant

Answer and Explanation

The Correct Answer is C

A. The right upper quadrant is typically associated with gallbladder or liver issues, not duodenal ulcers.

B. The right lower quadrant is primarily associated with appendicitis or other conditions involving the appendix.

C. The left upper quadrant is where the duodenum is located, making it the appropriate area to assess for pain related to a duodenal ulcer.

D. The left lower quadrant is often associated with conditions affecting the sigmoid colon or left ovary but not typically with duodenal ulcers.

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Correct Answer is B

Explanation

A. The planning phase involves setting goals and determining interventions based on the assessment data.

B. The assessment phase is where the nurse gathers information about the client's health history, including potential allergies, which is essential for safe care and diagnostic testing.

C. The implementation phase involves carrying out the planned interventions, which would include considerations for allergies but not the initial questioning about them.

D. The evaluation phase assesses the effectiveness of the interventions and the client's response to care, which is not the appropriate time to inquire about allergies.

A. Checking pupillary response to light B. Observe for facial symmetry C. Testing for sense of smell D. Elicit gag reflex

Correct Answer is D

Explanation

A. Checking pupillary response to light assesses cranial nerve II (optic nerve).

B. Observing for facial symmetry primarily assesses cranial nerves VII (facial nerve) and possibly V (trigeminal nerve).

C. Testing for sense of smell assesses cranial nerve I (olfactory nerve).

D. Eliciting the gag reflex assesses cranial nerve IX (glossopharyngeal nerve) and also cranial nerve X (vagus nerve), making it the correct action to assess cranial nerve IX.

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A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer is B

Explanation

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve IX?

Correct Answer is D

Explanation

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