When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?

Report the condition to the physician immediately.

Provide the client with nonprescription laxatives.

Measure abdominal girth according to a set routine.

Ask the client about food intake.

Answer and Explanation

The Correct Answer is C

Measure abdominal girth according to a set routine. Abdominal enlargement is a common finding in clients with cirrhosis, which is a condition characterized by liver scarring and impaired liver function. Measuring abdominal girth regularly is an important nursing intervention to monitor the progression of abdominal distention and to identify potential complications such as ascites, which is an accumulation of fluid in the abdomen.

Choice A, reporting the condition to the physician immediately, may be necessary if the abdominal enlargement is sudden or accompanied by other symptoms such as severe pain or shortness of breath.

Choice B, providing the client with nonprescription laxatives, is not indicated for abdominal enlargement in clients with cirrhosis.

Choice D, asking the client about food intake, is not relevant to the assessment of abdominal enlargement in clients with cirrhosis.

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Correct Answer is B

Explanation

A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.

Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.

Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.

Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.

A. Previous sexually transmitted infection (STI). B. Cryptorchidism as an infant. C. Low sperm count.

Correct Answer is B

Explanation

cryptorchidism as an infant. Cryptorchidism, or undescended testicles, is a known risk factor for testicular cancer. During fetal development, the testicles form in the abdomen and descend into the scrotum before birth. Failure of one or both testicles to descend into the scrotum can increase the risk of testicular cancer later in life. Therefore, a history of cryptorchidism as an infant is the most important assessment finding to identify clients at higher risk of developing testicular cancer.

Choice A, previous sexually transmitted infection (STI), is incorrect because although STIs can increase the risk of certain types of cancer, they are not a significant risk factor for testicular cancer.

Choice C, low sperm count, is incorrect because although low sperm count can be associated with testicular cancer, it is not a reliable indicator for determining a higher risk for testicular cancer. Low sperm count may also be caused by various other factors, such as hormonal imbalances, infections, varicocele, and genetic abnormalities. While it is important to monitor and treat low sperm count, it is not a definitive indicator of testicular cancer risk.

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When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Correct Answer is B

Explanation

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?

Correct Answer is B

Explanation

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