During an abdominal assessment, why is auscultation performed before palpation?

To identify areas of tenderness before applying pressure.

To ensure the patient is relaxed and comfortable.

To detect abdominal bruits before they become inaudible

To prevent altering bowel sounds by stimulating peristalsis

Answer and Explanation

The Correct Answer is D

A. To identify areas of tenderness before applying pressure: Palpation, not auscultation, is used to determine tenderness. Listening first does not help identify painful areas, so this does not explain the correct sequence of abdominal assessment.

B. To ensure the patient is relaxed and comfortable: Relaxation and comfort are important throughout the exam, but they are not the reason auscultation precedes palpation. Positioning and communication achieve comfort, not the sequence of techniques.

C. To detect abdominal bruits before they become inaudible: Abdominal bruits can be auscultated at any time and are not affected by palpation. Detecting bruits is important, but it does not explain why auscultation is performed before palpation.

D. To prevent altering bowel sounds by stimulating peristalsis: Palpation and percussion can stimulate bowel activity and change the frequency or intensity of bowel sounds. Therefore, auscultation is done first to obtain accurate baseline data before manipulation of the abdomen.

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Correct Answer is "{\"xRanges\":[55.51811002178649,62.0540577342048],\"yRanges\":[51.82072829131653,60.22408963585434]}"

Explanation

The apical pulse is auscultated in adults at the fifth intercostal space (the space between the fifth and sixth ribs) on the left side of the chest, at the midclavicular line. This location, also known as the Point of Maximal Impulse (PMI), is where the apex (tip) of the heart is closest to the chest wall. It corresponds to the area where the mitral valve sounds are best heard.

A. They are contraindicated in clients undergoing dialysis. B. They increase the risk of hepatic dysfunction. C. They cause severe hypoglycemia. D. They decrease the effectiveness of oral contraceptives

Correct Answer is A

Explanation

A. They are contraindicated in clients undergoing dialysis: SGLT-2 inhibitors depend on adequate kidney function to promote glucose excretion in the urine. In renal failure or during dialysis, they are ineffective and may increase risks of adverse effects.

B. They increase the risk of hepatic dysfunction: SGLT-2 inhibitors are not strongly associated with hepatotoxicity. While rare liver enzyme elevations can occur, hepatic dysfunction is not the main concern in clients with renal failure.

C. They cause severe hypoglycemia: SGLT-2 inhibitors generally have a low risk of causing hypoglycemia when used alone. Hypoglycemia is more likely when combined with insulin or sulfonylureas, but it is not the primary reason for cautious use in renal failure.

D. They decrease the effectiveness of oral contraceptives: These medications do not alter the metabolism or absorption of oral contraceptives. There is no clinically significant interaction between SGLT-2 inhibitors and hormonal birth control methods.

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During an abdominal assessment, why is auscultation performed before palpation?

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Naxlex Comprehensive Predictor Exams

A nurse is performing a cardiac assessment. Identify where the nurse should place the stethoscope to auscultate the client's apical pulse. (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[55.51811002178649,62.0540577342048],\"yRanges\":[51.82072829131653,60.22408963585434]}"

Explanation

Why are SGLT-2 inhibitors used cautiously in clients with renal failure?

Correct Answer is A

Explanation

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During an abdominal assessment, why is auscultation performed before palpation?

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