The nurse is caring for a client who is admitted to the medical-surgical unit for gastrointestinal disorders. While conducting a focused assessment, the nurse prepares to lightly palpate the client's abdomen. Which part of the hand should the nurse use?

Dorsal surface of the hand.

Fingertips and palmer surface of the fingers.

Palmer surface of the fingers.

Finger pads.

Answer and Explanation

The Correct Answer is D

A. The dorsal surface of the hand is used for assessing temperature, not palpation.

B. The fingertips and palmar surface are used for deep palpation, not light palpation.

C. The palmar surface of the fingers can be used, but the finger pads provide more sensitivity for light palpation, especially when assessing the abdomen.

D. Finger pads are the best part of the hand for light palpation as they allow the nurse to assess tenderness and abdominal consistency accurately.

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Correct Answer is C

Explanation

A. Metabolic acidosis would present with a low pH and low HCO3-.

B. Metabolic alkalosis would show elevated HCO3- with a normal or elevated PaCO2.

C. The elevated pH and decreased PaCO2 indicate respiratory alkalosis, likely due to hyperventilation.

D. Respiratory acidosis would involve a low pH and high PaCO2.

A. Elevated glucose levels B. Dysrhythmias C. Elevated blood pressure D. Impaired airway

Correct Answer is A

Explanation

A. Hydrochlorothiazide is known to increase blood glucose levels, particularly in clients with diabetes or those at risk for glucose intolerance.

B. Dysrhythmias are more commonly associated with electrolyte imbalances like low potassium, but elevated glucose is more specific to hydrochlorothiazide use.

C. Hydrochlorothiazide typically lowers blood pressure, so elevated blood pressure is not a common nontherapeutic response.

D. Impaired airway is unrelated to hydrochlorothiazide use.

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The nurse is caring for a client who is admitted to the medical-surgical unit for gastrointestinal disorders. While conducting a focused assessment, the nurse prepares to lightly palpate the client's abdomen. Which part of the hand should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client is receiving the diuretic hydrochlorothiazide. When evaluating the client's response to hydrochlorothiazide, which common nontherapeutic response is important for the nurse to monitor?

Correct Answer is A

Explanation

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