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Health Assessment Chapter 13 Questions and Answers (100% Correct Answers)

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Health Assessment Chapter 13 Questions and Answers (100% Correct Answers)

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Health Assessment
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Health Assessment Chapter 13 Questions and
Answers (100% Correct Answers)
A patient tells the nurse, "I've been having pain in my belly for several days that gets
worse after eating." Which datum from the symptom analysis is consistent with the
nurse's suspicion of peptic ulcer disease?

a. Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.

b. Sharp midepigastric pain radiates to the jaw.

c. Intermittent cramping pain in the left lower quadrant is relieved by defecation.

d. Colicky pain is felt near the umbilicus with vomiting and constipation.
Ans: a. Gnawing epigastric pain radiates to the back or shoulder that worsens after
eating. (p 268-269)

A patient reports having frequent heartburn. Which question does the nurse ask in
response to this information?

a. "Has your abdomen been distended when you feel the heartburn?"

b. "What have you eaten in the last 24 hours?"

c. "Is there a history of heart disease in your family?"

d. "How long after eating do you have heartburn?"
Ans: d. "How long after eating do you have heartburn?" (p 268-270)

A patient reports having abdominal distention. The nurse observes that the patient's
sclerae are yellow. Which abnormal finding does the nurse anticipate on examination
of this patient's abdomen?

a. Decreased bowel sounds in all quadrants

b. Glistening or taut skin of the abdomen

c. Bulge in the abdomen when coughing

d. Bruit around the umbilicus
Ans: b. Glistening or taut skin of the abdomen (p 270)

During an assessment for abdominal pain, a patient reports a colicky abdominal pain
and pain in the right shoulder that gets worse after eating fried foods. What question
does the nurse ask to confirm the suspicion of cholelithiasis?

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a. "Have you noticed any swelling in your ankles or feet at the end of the day?"

b. "Have you noticed a change in the color of your urine or stools?"

c. "Have you vomited up any blood in the last 24 hours?"

d. "Have you experienced fever, chills, or sweating?"
Ans: b. "Have you noticed a change in the color of your urine or stools?" (p. 268-269)

A patient reports having abdominal distention. The nurse notices that the patient's
sclerae are yellow. What question is appropriate for the nurse to ask in response to
this information?

a. "Has there been a change in your usual pattern of urination?"

b. "Have you had any nausea or vomiting?"

c. "Has there been a change in your bowel habits?"

d. "Have you had indigestion or heartburn?"
Ans: b. "Have you had any nausea or vomiting?" (p. 269-270)

A patient reports having abdominal distention and having vomited several times
yesterday and today. What question is appropriate for the nurse to ask in response to
this information?

a. "Has there been a change in your usual pattern of urination?"

b. "Did you have heartburn before the vomiting?"

c. "What did the vomitus look like?"

d. "Have you noticed a change in the color of your urine or stools?"
Ans: c. "What did the vomitus look like?" (p. 268-270)

A patient reports a change in the usual pattern of urination. What question does the
nurse ask to determine if incontinence is the reason for these symptoms?

a. "Do you have the feeling that you cannot wait to urinate?"

b. "Are you urinating a large amount each time you go to the bathroom?"

c. "Has the color of your urine changed lately?"

d. "Have you noticed any swelling in your ankles at the end of the day?"
Ans: a. "Do you have the feeling that you cannot wait to urinate?" (p. 270-271)

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