The client is brought into the emergency room (ER) by paramedics with blunt trauma to the left upper side of the abdomen due to a motor vehicle accident. The ER nurse knows what organ is most likely impacted.

appendix

left ureter

left lobe of liver

sigmoid colon

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is D

Explanation

A. Flat: A flat abdomen is level with no visible protrusions or concavities.

B. Protuberant: A protuberant abdomen appears swollen or distended, common in obesity or ascites.

C. Rounded: A rounded abdomen has a convex contour, commonly seen in children or adults with mild weight gain.

D. Scaphoid: A scaphoid abdomen appears sunken or concave, often showing visible lower ribs, suggesting malnutrition or dehydration.

A. A client who has pneumonia B. A client who has shigella C. A client who has strep throat D. A client who has tuberculosis

Correct Answer is D

Explanation

A. A client who has pneumonia: Pneumonia typically requires droplet precautions, not airborne.

B. A client who has shigella: Shigella is transmitted through the fecal-oral route, so contact precautions would be appropriate.

C. A client who has strep throat: Streptococcal infections are spread by droplets, so droplet precautions are indicated, not airborne.

D. A client who has tuberculosis: Tuberculosis (TB) is spread via airborne droplets, so airborne precautions are necessary to prevent transmission.

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The client is brought into the emergency room (ER) by paramedics with blunt trauma to the left upper side of the abdomen due to a motor vehicle accident. The ER nurse knows what organ is most likely impacted.

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Naxlex Comprehensive Predictor Exams

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