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Central Texas College NURSING 1115 Chapter 13 1)What question does a nurse ask a patient with a history of pancreatitis who is complaining of abdominal pain? A

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Central Texas College

NURSING 1115

Chapter 13

1)What question does a nurse ask a patient with a history of pancreatitis who is complaining of abdominal pain?

A.            Which foods aggravate the pain?

B.            Have you recently traveled outside the United States?

C.            Have you noticed a change in your bowel habits?

D.            How severe is the pain on a scale of 0 to 10?

 

2.            The nurse is interviewing a patient with a history of flank pain, fever, chills, and pain radiating to the groin. Which examination technique is most appropriate for this patient?

A.            Percussion of the costovertebral angle

B.            Deep palpation of the abdomen

C.            Testing for rebound tenderness

D.            Auscultation of all quadrants of the abdomen

 

3.            A patient reports a gnawing, burning pain in the midepigastric area that is aggravated by bending over or lying down. Which additional question does the nurse ask for the symptom analysis?

A.            “Do you have a family history of this type of pain?”

B.            How long ago did you eat?”

C.            Do you have any symptoms such as nausea with this pain?”

D.            Have you noticed any yellow coloring in your eyes or on your skin?”

 

4.            The nurse palpates the abdomen to gather data about which organs located in the right upper quadrant?

A.            Liver and gallbladder

B.            Stomach and spleen

C.            Uterus, if enlarged, and right ovary

D.            Right ureter and ascending colon

 

5.            A nurse performing an abdominal examination on a 37-year-old woman would document which finding as abnormal?

A.            Nonpalpable spleen or kidneys

B.            Bowel sounds every 15 seconds in the lower quadrants

C.            Bulges observed when coughing

D.            Silver-white striae and a faint vascular network

 

6.            A 50-year-old patient asks how he can reduce his risk of colon cancer. What is the most appropriate response by the nurse?

A.            “A diet high in animal protein reduces the risk.

B.            Regular exercise to reduce body fat helps prevent colon cancer.

C.            Taking antacids for heartburn can help prevent colon cancer.

D.            Taking vitamin C daily helps reduce the risk.”

 

7.            Which is an expected finding of an abdominal examination of an adult?

A.            Dull percussion tones over the bladder

B.            Venus hum over the epigastrium on auscultation

C.            High-pitched gurgles every 5 to 15 seconds on auscultation

D.            Swishing sounds over the abdominal aorta on auscultation

 

8.            Which technique does the nurse use to palpate a patient's abdomen?

A.            Asks the patient to breath slowly through the mouth

B.            Uses the heel of the hand to perform deep palpation

C.            Uses the left hand to lift the rib cage away from the abdominal organs

D.            Depresses the abdomen 1 to 2 inches for light palpation

 

9.            When assessing a patient's abdomen, the nurse uses assessment techniques in which order?

A.            Inspection, palpation, percussion, and auscultation

B.            Inspection, auscultation, palpation, and percussion

C.            Auscultation, inspection, percussion, and palpation

D.            Palpation, auscultation, inspection, and percussion

 

10.          The nurse suspects that the patient has appendicitis. Which assessment techniques can the nurse use to confirm his or her suspicion?

A.            Gently perform fist percussion over the right costovertebral angle

B.            Ask the patient to place her hand on the abdomen while the nurse taps one side of the abdomen and palpates the other side

C.            Palpate the left lower quadrant at a 90-degree angle and quickly release his or her hand

D.            With the patient lying supine and flexing her right knee and hip, tap on the sole of the patient's right foot