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The nurse suspects that a patient has a distended bladder. How
should the nurse assess for this condition?
a. Percuss and palpate in the lumbar region.
b. Inspect and palpate in the epigastric region.
c. Auscultate and percuss in the inguinal region.
d. Percuss and palpate the midline area above the suprapubic
bone. - ✔✔ANSWER ✔✔-d (Dull percussion sounds would be
elicited over a distended bladder, and the hypogastric area would
seem firm to palpation.)
Which structure is located in the left lower quadrant of the
abdomen?
,a.Liver
b.Duodenum
c.Gallbladder
d.Sigmoid colon - ✔✔ANSWER ✔✔-d (The sigmoid colon is
located in the left lower quadrant of the abdomen.)
A patient is having difficulty swallowing medications and food.
The nurse would document that this patient has:
a. Aphasia.
b. Dysphasia.
c. Dysphagia.
d. Anorexia. - ✔✔ANSWER ✔✔-c (Dysphagia is a condition that
occurs with disorders of the throat or esophagus and results in
difficulty swallowing. Aphasia and dysphasia are speech disorders.
Anorexia is a loss of appetite.)
The nurse is aware that one change that may occur in the
gastrointestinal system of an aging adult is:
,a. Increased salivation.
b. Increased liver size.
c. Increased esophageal emptying.
d. Decreased gastric acid secretion. - ✔✔ANSWER ✔✔-d (Gastric
acid secretion decreases with aging. As one ages, salivation
decreases, esophageal emptying is delayed, and liver size
decreases.)
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is true regarding assessment of
the spleen in this situation?
a. The spleen can be enlarged as a result of trauma.
b. The spleen is normally felt on routine palpation.
c. If an enlarged spleen is noted, then the nurse should
thoroughly palpate to determine its size.
d. An enlarged spleen should not be palpated because it can
easily rupture. - ✔✔ANSWER ✔✔-d (If an enlarged spleen is felt,
then the nurse should refer the person and should not continue
to palpate it. An enlarged spleen is friable and can easily rupture
with overpalpation.)
, A patient's abdomen is bulging and stretched in appearance. The
nurse should describe this finding as:
a. Obese.
b. Herniated.
c. Scaphoid.
d. Protuberant. - ✔✔ANSWER ✔✔-d (A protuberant abdomen is
rounded, bulging, and stretched (see Figure 21-7). A scaphoid
abdomen caves inward.)
The nurse is describing a scaphoid abdomen. To the horizontal
plane, a scaphoid contour of the abdomen depicts a ______ profile.
a. Flat
b. Convex
c. Bulging
d. Concave - ✔✔ANSWER ✔✔-d (Contour describes the profile of
the abdomen from the rib margin to the pubic bone; a scaphoid
contour is one that is concave from a horizontal plane (see Figure
21-7).)
While examining a patient, the nurse observes abdominal
pulsations between the xiphoid process and umbilicus. The nurse
would suspect that these are:
a. Pulsations of the renal arteries.