Assessment of a client reveals a distended abdomen with some bulging of the flanks. Which test would be most accurate in confirming nurse's suspicions?

Abdominal x-ray

Shifting dullness

Fluid wave

Ultrasound

Answer and Explanation

The Correct Answer is D

A. Abdominal x-ray: While it can show gas or bowel obstructions, it is less effective for confirming fluid presence.

B. Shifting dullness: This physical exam technique can indicate fluid but is less accurate than ultrasound.

C. Fluid wave: This physical exam can help suggest the presence of fluid, but it is also less reliable than imaging studies.

D. Ultrasound: An ultrasound is the most accurate and non-invasive way to confirm the presence of fluid, such as ascites, in the abdomen. It provides detailed imaging and confirmation without invasive procedures.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Appendix: Located in the right lower quadrant, the appendix is unlikely to be impacted in left upper quadrant trauma.

B. Left ureter: The left ureter is located lower in the abdomen along the flank area and is not directly impacted in the left upper quadrant.

C. Left lobe of liver: The liver’s left lobe extends into the left upper quadrant, making it a likely organ to be impacted in blunt trauma to this area, particularly given its large size and location near the abdominal wall.

D. Sigmoid colon: Positioned lower in the left lower quadrant, the sigmoid colon is less likely to be affected by left upper abdominal trauma.

A. "Most people in your situation are able to get through this." B. "Why do you think you're feeling so alone?" C. "Do you have anyone you can talk to about your diagnosis?" D. "I am so sorry about your diagnosis. You must be devastated."

Correct Answer is C

Explanation

A. "Most people in your situation are able to get through this.": This statement is dismissive and may minimize the client’s feelings, as it generalizes the experience.

B. "Why do you think you're feeling so alone?": Asking "why" may make the client feel defensive and pressured to justify their feelings, which is not therapeutic.

C. "Do you have anyone you can talk to about your diagnosis?" This response encourages the client to reflect on their support system, which may help reduce feelings of isolation. It also shows empathy and invites further conversation without making assumptions.

D. "I am so sorry about your diagnosis. You must be devastated.": While it shows sympathy, it assumes the client’s feelings and may inadvertently heighten the client’s sense of distress without providing support.

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Assessment of a client reveals a distended abdomen with some bulging of the flanks. Which test would be most accurate in confirming nurse's suspicions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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