The nurse is caring for a client who is hospitalized with exacerbation of Crohn's disease. What does the nurse expect to find during the physical assessment?
a. Positive Murphy's sign with rebound ten-derness
b. Dullness in the lower abdominal quadrants
c. High-pitched, rushing bowel sounds in the right lower quadrant
d. Abdominal cramping that the client says is worse at night
C
The nurse expects high-pitched, rushing bowel sounds due to narrowing of the bowel lumen in Crohn's disease. Dullness in the lower abdominal quadrants and hypoactive bowel sounds are not commonly found with Crohn's disease. Nightly worsening of abdominal cramping is not consistent with Crohn's disease. A positive Murphy's sign is indicative of gallbladder disease, and rebound tenderness often indicates peritonitis.
You might also like to view...
A nurse manager is working on several projects and is stressed most of the time. This manager usually works on the unit instead of her office to make sure she does not miss anything. Which would be the most effective method to decrease stress?
1. Keep a structured schedule for ?work time? on each project in the office. 2. Elicit assistance from employees to help complete the projects. 3. Allow one project to fall behind while finishing up the others. 4. Take a sick day to work on the projects uninterrupted at home.
The nursing faculty member requires that last-semester nursing students create a résumé. One student submits a résumé that includes education, past employment, and accomplishments
Which additional information will the faculty member recommend the student include in this résumé? 1. Family information 2. Short-term personal goals 3. Transcript 4. Long-term career goals
The public health nurse notes that certain diseases and health problems are becoming more prevalent in countries that previously had few issues. What should the nurse consider as reasons for this change? (Select all that apply.)
1. Health coverage for the disease has changed 2. People have visited countries with the disease 3. Reduced numbers of providers who treat the disease 4. People have moved into the country with the disease 5. People are living longer in the country with the disease
The nurse is working at an ambulatory care clinic. A woman reports with complaints of discovering a lump in her breast. When considering the likelihood the mass is malignant, which characteristic is most indicative of breast cancer?
1. The borders of the mass are uneven. 2. The client reports tenderness with palpation. 3. The mass is readily moved beneath the skin. 4. The skin over the mass is smooth.