While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

The gallbladder is normal.

Deeper palpation technique is needed.

The client is too obese.

Palpating in the wrong abdominal quadrant.

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

A. Deep, continuous pain in the calf muscles. This symptom is more indicative of deep vein thrombosis (DVT) rather than venous insufficiency.

B. Painful symptoms alleviated by warmth. This symptom is not typically associated with venous insufficiency; it may be seen in conditions like arthritis.

C. Cool, pale skin below the knees. This finding is more suggestive of arterial insufficiency rather than venous insufficiency.

D. Decreased pain when legs are elevated. Venous insufficiency is characterized by impaired blood flow in the veins, leading to symptoms such as leg aching, tiredness, swelling, and skin changes like leathery appearance. Elevating the legs can help alleviate symptoms of venous insufficiency by reducing venous pressure and improving blood flow back to the heart. Therefore, a subjective finding indicating decreased pain when the legs are elevated suggests venous insufficiency.

A. Compare measured circumferences of each extremity joint. B. Instruct the client to walk across the room and observe the gait. C. Perform passive range of motion and compare the findings. D. Measure the length of each leg and document the findings.

Correct Answer is D

No explanation

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While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing the legs of an adult client, the nurse observes leathery-looking skin. The client reports aching, tired legs that swell if standing for long periods of time. To screen for venous insufficiency, the nurse should ask the client if they have experienced which subjective finding?

Correct Answer is D

Explanation

While assessing a client, the nurse notices that the client's legs are asymmetrical. Which additional physical data should the nurse collect?

Correct Answer is D

The nurse plans to teach a client newly diagnosed with diabetes mellitus how to inject insulin. Upon entering the room with the injection supplies, the nurse finds the client in tears. How should the nurse respond?

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