What is the correct order of abdominal assessment?
Inspection, palpation, and auscultation
Inspection, auscultation, and palpation
Auscultation, inspection, and palpation
Palpation, auscultation, and inspection
The Correct Answer is B
Choice A reason: Inspection, palpation, and auscultation is incorrect, as palpation before auscultation can alter bowel sounds by stimulating peristalsis. Abdominal assessment requires auscultation first to capture natural bowel activity, followed by palpation to avoid disrupting the acoustic findings critical for diagnosing conditions like obstruction.
Choice B reason: Inspection, auscultation, and palpation is the correct sequence for abdominal assessment. Inspection identifies visible abnormalities, auscultation captures unaltered bowel sounds, and palpation assesses tenderness or masses. This order prevents palpation from affecting auscultatory findings, ensuring accurate evaluation of gastrointestinal function and potential pathologies.
Choice C reason: Auscultation, inspection, and palpation disrupts the logical flow of abdominal assessment. Inspection should precede auscultation to note visible abnormalities that may guide listening. Starting with auscultation risks missing contextual visual cues, reducing the effectiveness of the assessment and potentially overlooking critical signs.
Choice D reason: Palpation, auscultation, and inspection is incorrect, as palpation first can stimulate or suppress bowel sounds, skewing auscultation results. Inspection must initiate the process to identify visible issues, followed by auscultation and palpation, to maintain accuracy in assessing abdominal conditions like peritonitis or organ enlargement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Swallowing water tests cranial nerves IX and X, not XI (spinal accessory), which controls trapezius and sternocleidomastoid muscles. Shoulder shrugging tests XI. Misidentifying this risks incorrect neurological assessment, potentially missing deficits in motor function, critical for diagnosing conditions affecting cranial nerve XI in clinical evaluations.
Choice B reason: Saying “light, tight, dynamite” tests cranial nerve XII (hypoglossal) for tongue movement, not XI, which involves shoulder and neck muscles. Assuming this assesses XI misguides neurological evaluation, risking oversight of motor weaknesses, essential for accurate diagnosis and management of cranial nerve-related disorders in patients.
Choice C reason: Identifying a smell tests cranial nerve I (olfactory), not XI, which governs shoulder and neck movements. Misidentifying this risks incorrect cranial nerve assessment, potentially missing motor deficits in XI, critical for diagnosing neurological conditions like nerve injuries or tumors affecting shoulder and neck function.
Choice D reason: Shrugging shoulders and turning the head against resistance tests cranial nerve XI (spinal accessory), assessing trapezius and sternocleidomastoid strength. This ensures accurate neurological evaluation, detecting deficits from nerve damage or lesions, guiding diagnosis and treatment, critical for managing motor function in patients with suspected cranial nerve issues.
Correct Answer is A
Explanation
Choice A reason: Burning urination, cloudy urine, and urethral pain are classic UTI symptoms, caused by bacterial infection (e.g., Escherichia coli) irritating the urinary tract. Prompt recognition guides antibiotic therapy and hydration, preventing complications like pyelonephritis. Accurate diagnosis ensures timely treatment, critical for relieving discomfort and avoiding infection spread in affected patients.
Choice B reason: Kidney obstruction typically causes flank pain, reduced urine output, or hematuria, not burning urination or cloudy urine. These symptoms align with UTI, not obstruction. Misidentifying risks delaying UTI treatment, potentially leading to kidney damage or sepsis, while unnecessary imaging for obstruction complicates care unnecessarily.
Choice C reason: Stroke presents with neurological symptoms like weakness or confusion, not urinary symptoms like burning or cloudy urine. These indicate UTI, not stroke. Assuming stroke misdirects care, delaying antibiotic treatment for UTI, risking infection progression and overlooking neurological assessment needed for actual stroke symptoms.
Choice D reason: Heart failure causes edema, dyspnea, or fatigue, not urinary symptoms like burning or cloudy urine, which suggest UTI. Misidentifying as heart failure risks neglecting antibiotic therapy, allowing UTI to worsen, potentially causing sepsis. This error diverts focus from cardiac assessment needed for heart failure management.
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