While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?
Rounded
Scaphoid
Flat
Protuberant
The Correct Answer is D
A. Rounded describes a normal abdomen but does not convey the greater extent of fullness seen in this case.
B. Scaphoid describes a concave abdomen, which does not apply to this situation.
C. Flat indicates no significant contour changes, which does not apply here.
D. Protuberant is the correct term, as it describes an abdomen that is significantly distended and is characteristic of conditions like pregnancy, ascites, or obesity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Increase daily exercise: Regular physical activity helps stimulate bowel movements and can relieve constipation.
B. Be sure to take good care of your teeth: While dental health is important, it is not directly related to constipation management.
C. Incorporate more fresh fruits and vegetables in your daily intake: These foods are high in fiber, which helps to soften stool and promote regularity.
D. Avoid drinking hot liquids: This is not a standard recommendation for managing constipation; warm liquids can sometimes aid in bowel movements.
E. Increase intake of low fiber foods: This would likely worsen constipation, as low-fiber diets can contribute to harder stools.
Correct Answer is D
Explanation
A. Nodules, specifically rheumatoid nodules, can occur in RA, but they are not typically an early manifestation.
B. Fremitus is related to lung assessment and is not a manifestation of rheumatoid arthritis.
C. Tenderness in the soles of the feet is not a classic early manifestation of RA.
D. Joint swelling is one of the hallmark early signs of rheumatoid arthritis due to inflammation of the synovial membranes.
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