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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 B

Explanation

A. Capillary refill time greater than 2 seconds is abnormal and requires further assessment.

B. A capillary refill time of 5 seconds indicates delayed peripheral perfusion and warrants further investigation.

C. While frostbite can cause delayed refill, it is less likely than vascular insufficiency in this scenario.

D. Delayed capillary refill is more often associated with arterial, not venous, insufficiency.

A. Test for the Murphy sign B. Test for shifting dullness C. Perform the obturator test D. Test for the Blumberg sign E. Perform the iliopsoas muscle test F. Test for fluid wave

Correct Answer is ["C","D","E"]

Explanation

A. Murphy sign: This is used to assess for gallbladder inflammation, not appendicitis.

B. Shifting dullness: This is used to detect ascites, not appendicitis.

C. Obturator test: This test involves flexing the patient's right hip and knee and rotating the leg internally, causing pain if the appendix is inflamed.

D. Blumberg sign: This test for rebound tenderness indicates peritoneal irritation, commonly associated with appendicitis.

E. Iliopsoas muscle test: This test involves extending the right leg against resistance, which can elicit pain in cases of appendicitis.

F. Fluid wave: This is used to assess for ascites, not appendicitis.

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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

The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?

Correct Answer is B

Explanation

The nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

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

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