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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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Pupillary dilation when looking at a far object: While dilation occurs with distance, the question specifically refers to near vision.

B. Pupillary constriction when looking at a near object: Accommodation is the process by which the eyes adjust to focus on near objects, which includes pupillary constriction and lens thickening.

C. Changes in peripheral vision: This describes visual field testing, not accommodation.

D. Involuntary blinking in bright light: This describes the corneal reflex, not accommodation.

A. Older adult taking anticoagulant medication B. Person who has been on bed rest for 4 days C. Person with a 30-year, 1 pack per day smoking habit D. Woman in her second month of pregnancy

Correct Answer is B

Explanation

A. Older adult taking anticoagulant medication: Anticoagulants reduce the risk of thrombosis.

B. Person who has been on bed rest for 4 days: Prolonged immobility reduces muscle contraction, leading to decreased venous return and increased risk of venous stasis and DVT.

C. Person with a 30-year smoking habit: Smoking is a risk factor for arterial disease rather than venous disease.

D. Woman in her second month of pregnancy: Pregnancy increases venous pressure but is more significant in the third trimester.

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During an abdominal assessment, the nurse tests for a fluid wave. What condition would produce a positive fluid wave test?

Nursing Test Bank

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