During an abdominal assessment, the nurse tests for a fluid wave. What condition would produce a positive fluid wave test?
Constipation
Splenomegaly
Distended bladder
Ascites
The Correct Answer is D
A. Constipation: This involves hardened stool in the colon, causing localized distention but no free fluid.
B. Splenomegaly: Enlargement of the spleen causes a palpable mass in the left upper quadrant but no free fluid.
C. Distended bladder: This causes suprapubic distension but does not produce a fluid wave.
D. Ascites: A positive fluid wave test indicates free fluid in the abdominal cavity, a hallmark sign of ascites. The test is performed by tapping one side of the abdomen and observing for a wave-like transmission of fluid to the opposite side.
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Related Questions
Correct Answer is B
Explanation
A. Ptosis: Drooping of the upper eyelid, often caused by nerve or muscle dysfunction.
B. Ectropion: This condition results from age-related weakening of eyelid muscles or facial nerve palsy, causing the lower eyelid to turn outward, exposing the conjunctiva.
C. Exophthalmos: Protrusion of the eyeball, commonly seen in conditions like Graves' disease.
D. Entropion: Inward rolling of the eyelid, leading to eyelashes rubbing against the eye.
Correct Answer is B
Explanation
A. Six: The abdomen is typically not divided into six sections.
B. Four: Most healthcare providers divide the abdomen into four quadrants: right upper, left upper, right lower, and left lower.
C. Eight: Eight sections are not commonly used for abdominal assessment.
D. Nine: Nine sections are used in more detailed assessments but are less common than the four-quadrant approach.
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