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 A
Explanation
The correct procedure for straightening the ear canal of an adult is to gently pull the auricle (the cartilage portion of the outer ear) upward and backward.
It's important to note that the technique of pulling the pinna down and back is typically used for children under the age of 3, as their ear anatomy is different from that of adults. However, for adults, pulling the pinna down and back can close off the ear canal and make it more difficult to see inside. Therefore, it's important to use the correct technique based on the patient's age and anatomy.
Correct Answer is ["C","D"]
Explanation
The Mini-Mental Status Exam assesses cognitive function, which is often included in the psychosocial assessment, and the Activities of Daily Living Tool assesses the patient's ability to perform daily tasks, which is also important to understand the patient's level of functioning.
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