The nurse is mapping the client’s abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)
Umbilicus
Midclavicular lines
Sternum
Lower border of the right ribs.
Correct Answer : A
To map the client's abdomen into four quadrants, the nurse should use the umbilicus as the landmark to perform this assessment. The abdomen is divided into four quadrants by drawing an imaginary line from the center of the umbilicus to the pubic symphysis and another line from the center of the umbilicus to the xiphoid process of the sternum. This helps in identifying the location of any potential abdominal discomfort or tenderness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a different role in physiological and cognitive functioning.
Correct Answer is D
Explanation
The CAGE acronym is a brief screening tool used to assess alcohol misuse or dependence. It consists
of four questions that can be easily remembered using the acronym CAGE:
C - Have you ever felt you needed to Cut down on your drinking?
A - Have you ever felt Annoyed by criticism of your drinking? G - Have you ever felt Guilty about your drinking?
E - Have you ever felt the need for an Eye-opener (drink) in the morning?
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