The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination?

Auscultation.

Percussion.

Light palpation.

Deep palpation.

Answer and Explanation

The Correct Answer is A

Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about

gastrointestinal function.

Choice B rationale: Percussion involves tapping the abdomen to assess density or abnormal masses but usually follows auscultation.

Choice C rationale: Palpation, both light and deep, follows percussion in the sequence of an abdominal examination.

Choice D rationale: Similar to light palpation, deep palpation follows auscultation and percussion in the sequence of an abdominal examination.

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Correct Answer is A

Explanation

Choice A rationale: This statement could indicate that the client is receiving too much dose of the medication, which can cause hyperthyroidism. Hyperthyroidism is a condition where the thyroid gland produces too much thyroid hormone, which can speed up the body's metabolism and cause symptoms such as tremors, nervousness, weight loss, increased heart rate, and heat intolerance.

Choice B rationale: More frequent bowel movements could be a normal effect of the medication, as levothyroxine can improve constipation that is often associated with hypothyroidism.

Choice C rationale: The ability to enjoy cold weather might suggest improved tolerance to cold, which would align with normalized thyroid function.

Choice D rationale: This could be a sign of improved well-being and quality of life due to the medication, as levothyroxine can improve fatigue and depression that are often associated with hypothyroidism.

A. A 60-year-old patient with diabetes who has cellulitis of the left ankle. B. A 50-year-old patient with diabetes just returned from the post-anesthesia care unit after a below-knee amputation. C. A 72-year-old patient with diabetes with diabetic ketoacidosis who is receiving IV insulin. D. A 70-year-old patient with diabetes who is showing signs of hyperglycemia.

Correct Answer is A

Explanation

Choice A rationale: Cellulitis management typically involves wound care, antibiotics, and monitoring. It's a suitable assignment for a new graduate nurse to begin learning about wound management and diabetic care.

Choice B rationale: Post-operative care for an amputation requires experience in assessing and managing post-surgical complications, which might not be suitable for a new graduate nurse.

Choice C rationale: Diabetic ketoacidosis management involves complex insulin therapy and critical care, which might be overwhelming for a new graduate nurse.

Choice D rationale: While hyperglycemia requires monitoring and intervention, the cause and severity need to be determined before assigning this patient to a new

graduate nurse.

View Question and Answer

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The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with hypothyroidism has been taking the thyroid hormone levothyroxine for three months. Which client statement could indicate the client is receiving too much dose of the medication?

Correct Answer is A

Explanation

The RN is serving as preceptor to a new graduate nurse who has recently passed the RN licensure (NCLEX®) examination. The new nurse has only been on the unit for 2 days. Which patient should be assigned to the new graduate nurse?

Correct Answer is A

Explanation

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