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Which of the following is the first important step in helping the patient to relax for the complete abdominal examination?

Warm the stethoscope before auscultating

Have the patient bend their knees

Expose only the abdomen for examination

Have the patient empty his/her bladder

Answer and Explanation

The Correct Answer is D

A. Warming the stethoscope: Improves comfort but is not the first step.

B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.

C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.

D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.

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Correct Answer is C

Explanation

A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.

B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).

C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.

D. Unilateral cool foot: Suggests acute arterial obstruction.

A. Tympany to percussion over the intestines B. Loose, watery stool C. Suprapubic tenderness D. A non-palpable spleen E. Aortic pulsation in the epigastric area F. Decreased bowel sounds

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"}}

Explanation

Each category must have at least 1 response option selected

Finding	Normal	Abnormal
Tympany to percussion over the intestines	✅
Loose, watery stool		✅
Suprapubic tenderness		✅
A non-palpable spleen	✅
Aortic pulsation in the epigastric area	✅
Decreased bowel sounds		✅

Rationale:

Tympany to percussion over the intestines (Normal):

Tympany is expected due to the presence of gas in the intestines.

Loose, watery stool (Abnormal):

This is indicative of diarrhea, which may point to gastrointestinal upset or infection.

Suprapubic tenderness (Abnormal):

Tenderness in this area may indicate bladder infection, inflammation, or pelvic issues.

A non-palpable spleen (Normal):

The spleen is generally not palpable in healthy individuals unless it is enlarged (splenomegaly).

Aortic pulsation in the epigastric area (Normal):

Mild pulsations may be felt in thin or normal-weight individuals. However, a widened or strong pulsation could suggest an abdominal aortic aneurysm.

Decreased bowel sounds (Abnormal):

Hypoactive or absent bowel sounds may indicate decreased intestinal motility, such as in ileus or peritonitis.

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Which of the following is the first important step in helping the patient to relax for the complete abdominal examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?

Correct Answer is C

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"}}

Explanation

The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease?

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