The main reason that auscultation precedes palpation of the abdomen is to:

prevent distortion of bowel sounds.

prevent distortion of vascular sounds

determine any areas of tenderness or pain

allow the patient to relax and be comfortable

Answer and Explanation

The Correct Answer is A

A. Prevent distortion of bowel sounds. – Palpation can stimulate peristalsis and alter bowel sounds, leading to inaccurate assessment findings.

B. Prevent distortion of vascular sounds. – While palpation might affect vascular sounds slightly, this is not the primary concern when assessing the abdomen.

C. Determine any areas of tenderness or pain. – While assessing for tenderness is important, auscultation precedes palpation primarily to avoid altering bowel sounds.

D. Allow the patient to relax and be comfortable. – While relaxation is beneficial, the sequence of assessment is based on maintaining accuracy in findings rather than patient comfort.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Is a protective response – Inflammation is a natural immune response that helps contain injury and promote healing, regardless of infection.

B. Is a disease process – Inflammation itself is not a disease; it is a response to injury, infection, or irritation.

C. Produces tissue damage – While excessive or chronic inflammation can cause tissue damage, inflammation itself is not inherently destructive.

D. Is a result of bacteria – Inflammation can be caused by bacteria, viruses, trauma, or autoimmune conditions, not just bacterial infection.

A. Press the skin over the client's ankle bone B. Lightly palpate the skin using the fingertips C. Grasp a fold of skin on the client's forearm or near the sternum D. Observe for non blanching, pinpoint-size, red or purple spots on the skin of the abdomen

Correct Answer is C

Explanation

A. Press the skin over the client's ankle bone. – The skin over bony prominences does not provide an accurate assessment of turgor due to reduced subcutaneous tissue in elderly clients.

B. Lightly palpate the skin using the fingertips. – Light palpation assesses texture and moisture but does not evaluate skin turgor.

C. Grasp a fold of skin on the client’s forearm or near the sternum. – Skin turgor is best assessed by gently pinching the skin on the forearm or sternum. Delayed return to normal indicates dehydration or decreased skin elasticity due to aging.

D. Observe for non-blanching, pinpoint-size, red or purple spots on the skin of the abdomen. – This describes petechiae, which indicate capillary fragility or bleeding disorders, not skin turgor.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The main reason that auscultation precedes palpation of the abdomen is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

Correct Answer is A

Explanation

The elderly patient is being assessed for skin turgor. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

When the patient asked the nurse how long it would take to "get over" the diabetes, the nurse explained that she will have this disease throughout her life. Diabetes mellitus is considered a/an:

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

The protective response of body tissues to irritation, injury or pathogens is:

Febrile is an abnormal elevation of:

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

The patient has been found to have edema of the lower extremities. The nurse is assessing whether or not it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds, the nurse identifies 4+ pitting edema because the rebound time is:

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for: