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The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal?

Absolute dullness.

Absent sounds.

Pain.

Musical and drum like.

Answer and Explanation

The Correct Answer is D

A. Absolute dullness: This typically indicates fluid or a mass in the abdomen and is not a normal finding.

B. Absent sounds: Complete absence of bowel sounds can be a sign of an obstruction or ileus.

C. Pain: Pain during percussion suggests inflammation or irritation in the underlying organs.

D. Musical and drum like sounds: These are normal bowel sounds produced by gas and fluid movement within the intestines.

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Correct Answer is D

No explanation

A. Multiple maculopapular pustules over forehead and chin on an adolescent student. B. Red, swollen, painful nodule located on the upper back of a school aged student. C. Small, white flecks on the hair shafts throughout scalp on a school aged child. D. Bilateral patellar abrasions with eschar formation on a preschool aged student.

Correct Answer is B

Explanation

A. Multiple maculopapular pustules over forehead and chin on an adolescent student: These pustules could be indicative of an infectious process, such as acne or impetigo. While not necessarily an emergency, it’s important to assess and potentially treat these skin lesions promptly. The school nurse should report this to the healthcare provider for further evaluation.

B. Red, swollen, painful nodule located on the upper back of a school-aged student: This finding raises concern for an abscess or localized infection. The pain, redness, and swelling suggest an inflammatory process. The nurse should promptly report this to the healthcare provider for assessment and appropriate management.

C. Small, white flecks on the hair shafts throughout the scalp on a school-aged child: These white flecks are likely nits (lice eggs). While not an emergency, they do require attention. The nurse should inform the parents or guardians and recommend appropriate treatment. However, this finding does not necessitate immediate reporting to the healthcare provider.

D. Bilateral patellar abrasions with eschar formation on a preschool-aged student: Abrasions with eschar (dead tissue) formation can indicate a deeper injury. The nurse should report this to the healthcare provider promptly for assessment and wound care recommendations.

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The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal?

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The nurse completes percussion of the abdomen on an adult client. Which finding is considered normal?