A young patient presents with a left-sided mass in her abdomen. You confirm that it is present in the left upper quadrant. Which of the following would support that this represents an enlarged kidney rather than her spleen?
A) A palpable “notch” along its edge
B) The inability to push your fingers between the mass and the costal margin
C) The presence of normal tympany over this area
D) The ability to push your fingers medial and deep to the mass
C) The presence of normal tympany over this area
A left upper quadrant mass is more likely to be a kidney if there is no palpable “notch,” you can push your fingers between the mass and the costal margin, there is normal tympany over this area, and you cannot push your fingers medial and deep to the mass. These findings are very difficult to appreciate in an obese patient.
You might also like to view...
The nurse, caring for a patient with myocardial damage, would expect which change on the ECG tracing?
1. ST segment elevation 2. Loss of P waves 3. Bradycardia 4. Widening of the QRS complex
In hypothesis testing, which of the following is true?
a. The null hypothesis is assumed to be true. b. Researchers seek to reject the null hypothesis with 100% certainty. c. p = 1.0 that a true null will be rejected or that a false null will be accepted. d. The null hypothesis is the same as the research hypothesis.
A client has been seeing a nurse practitioner for counseling following a rape. A long-term goal for this client would be which of the following?
1. Client will devise a list of phone numbers for support people. 2. Client will be able to share feelings of fear with counselor. 3. Client will return to level of purpose and functioning as before the rape. 4. Client will state signs and symptoms of physical trauma.
The patient has the right to refuse treatment
Indicate whether the statement is true or false