Podcast
Questions and Answers
What is the correct sequence for evaluating the aortic region of the abdomen and the lower region of the abdomen?
What is the correct sequence for evaluating the aortic region of the abdomen and the lower region of the abdomen?
- Start from the right side and move to the left side
- Evaluate both regions simultaneously
- Evaluate the aortic region first, then the lower region (correct)
- Evaluate the lower region first, then the aortic region
Why should the nurse use the bell, not the diaphragm, of the stethoscope when assessing vascular sounds in the abdomen?
Why should the nurse use the bell, not the diaphragm, of the stethoscope when assessing vascular sounds in the abdomen?
- The diaphragm distorts vascular sounds
- The bell provides better amplification of high-pitched sounds (correct)
- The bell allows for a better evaluation of bowel sounds
- The diaphragm is more suitable for listening to vascular sounds
Which of the following accurately describes Borborygmi?
Which of the following accurately describes Borborygmi?
- It is a normal bowel sound caused by peristalsis (correct)
- It indicates respiratory distress
- It is a sign of an abdominal aneurysm
- It is a vascular sound indicating arterial blockage
When assessing for vascular sounds in the abdomen, why should the nurse only expose the region being assessed?
When assessing for vascular sounds in the abdomen, why should the nurse only expose the region being assessed?
What assessment finding in a client with gastroenteritis should prompt the nurse to contact the health care provider?
What assessment finding in a client with gastroenteritis should prompt the nurse to contact the health care provider?
Which finding would be considered normal in a client with gastroenteritis?
Which finding would be considered normal in a client with gastroenteritis?
In a client with gastroenteritis, what finding would suggest a need for immediate medical attention?
In a client with gastroenteritis, what finding would suggest a need for immediate medical attention?
During assessment of a client with gastroenteritis, which finding could be mistaken for a normal variant?
During assessment of a client with gastroenteritis, which finding could be mistaken for a normal variant?
Which assessment finding in a client with gastroenteritis would require urgent follow-up by the health care provider?
Which assessment finding in a client with gastroenteritis would require urgent follow-up by the health care provider?
What is the most appropriate action for the nurse to take next for the client presenting with severe right lower quadrant pain and a fever of 38.6°C?
What is the most appropriate action for the nurse to take next for the client presenting with severe right lower quadrant pain and a fever of 38.6°C?
Which vital sign finding is most indicative of a potential acute surgical emergency in this client?
Which vital sign finding is most indicative of a potential acute surgical emergency in this client?
What is the rationale for keeping the client NPO in this situation?
What is the rationale for keeping the client NPO in this situation?
Why is cleansing the abdomen with chlorhexidine important for this client?
Why is cleansing the abdomen with chlorhexidine important for this client?
Which additional assessment finding would further support the nurse's suspicion of acute appendicitis in this client?
Which additional assessment finding would further support the nurse's suspicion of acute appendicitis in this client?
What type of bowel sounds would the nurse expect to document in a healthy client during an abdominal assessment?
What type of bowel sounds would the nurse expect to document in a healthy client during an abdominal assessment?
Which term would be used to describe bowel sounds that are gurgling, continuous, and louder than normal?
Which term would be used to describe bowel sounds that are gurgling, continuous, and louder than normal?
What is the correct interpretation of blowing, swooshing sounds at the ileac region during an abdominal assessment?
What is the correct interpretation of blowing, swooshing sounds at the ileac region during an abdominal assessment?
When would bowel sounds be considered absent during an abdominal assessment?
When would bowel sounds be considered absent during an abdominal assessment?
If a client with asthmatic bronchitis had bruit sounds in the ileac region, what would be the likely interpretation of this finding?
If a client with asthmatic bronchitis had bruit sounds in the ileac region, what would be the likely interpretation of this finding?
What distinguishes normoactive bowel sounds from hyperactive bowel sounds?
What distinguishes normoactive bowel sounds from hyperactive bowel sounds?
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