When preparing a female client for an abdominal examination, the nurse should provide her with which instruction?

"Refrain from eating or drinking for at least thirty minutes."

"Lie in a prone position with slightly flexed knees."

"Exhale slowly through your mouth then hold your breath."

"Empty your bladder just prior to the examination."

Answer and Explanation

The Correct Answer is D

A.   The client should refrain from eating or drinking for other procedures but not specifically for an abdominal examination unless indicated for tests like ultrasounds.
B.   A prone position is not necessary for an abdominal exam; lying on the back is preferred.
C.   The client should not hold their breath during the abdominal exam unless asked to assist with specific maneuvers.
D.   Having the bladder empty before the examination reduces discomfort and allows for better visualization of the abdominal organs.

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Correct Answer is D

Explanation

A. Palpating the radial pulses might not detect irregularities in pulse rate or rhythm as effectively as auscultation at the apical site.
B. Listening over the carotid artery may be useful in certain situations but is not the preferred method for assessing overall pulse rate.
C. Feeling the dorsalis pedis and posterior tibialis pulses provides information about peripheral circulation but does not assess the overall heart rate.
D. Auscultating the apical pulse is the most accurate method to assess the pulse rate, especially in clients with cardiovascular disease, as it provides direct measurement of heart activity.

A. Listen to the heart sounds using the bell of a stethoscope. B. Use a Doppler ultrasound to hear the heartbeat. C. Obtain a pulse oximeter reading from two extremities. D. Auscultate for one minute with the stethoscope's diaphragm.

Correct Answer is A

Explanation

A. The bell of the stethoscope is best for detecting low-pitched sounds like murmurs or extra heart sounds.
B. A Doppler ultrasound is not necessary for routine auscultation of heart sounds.
C. Pulse oximetry does not provide relevant information about heart sounds.
D. Auscultating with the diaphragm is better for high-pitched sounds, so the bell is preferred for extra heart sounds.

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When preparing a female client for an abdominal examination, the nurse should provide her with which instruction?

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Naxlex Comprehensive Predictor Exams

When assessing an older adult client with a history of cardiovascular disease, dyspnea, and peripheral edema, which method is best for the nurse to use to assess the client's pulse rate?

Correct Answer is D

Explanation

The nurse detects a possible extra heart sound while assessing an adult client. To verify this finding, which action should the nurse take?

Correct Answer is A

Explanation

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