The nurse is mapping the client's abdomen into four quadrants. Which of the following landmarks would the nurse use to perform this assessment? Standard Text: Select all that apply
1. Umbilicus
2. Midclavicular lines
3. Xiphoid process
4. Lower border of the right ribs
5. Iliac crests
1,3
Rationale 1: Umbilicus. To obtain four quadrants when mapping the abdomen, extend the midsternal line from the xiphoid process through the umbilicus to the pubic bone, then draw a horizontal line perpendicular to the first line.
Rationale 2: Midclavicular lines. The midclavicular lines are not used to map the client's abdomen into four quadrants.
Rationale 3: Xiphoid process. To obtain four quadrants when mapping the abdomen, extend the midsternal line from the xiphoid process through the umbilicus to the pubic bone, then draw a horizontal line perpendicular to the first line.
Rationale 4: Lower border of the right ribs. The lower border of the right ribs is not used to map the client's abdomen into four quadrants.
Rationale 5: Iliac crests. The iliac crests are not used to map the client's abdomen into four quadrants.
You might also like to view...
A nurse reviewed information before meeting with the community residents who were attending a program on healthful living. Which of the following best describes the action by the nurse?
a. Disease prevention b. Health promotion c. Health improvement d. Specific protection
The school nurse at a local elementary school is performing physical fitness assessments on the third-grade children. When assessing students' cardiorespiratory fitness, the most appropriate test is to have the students:
1) Step up and down on a 12-inch bench. 2) Perform the sit-and-reach test. 3) Run a mile without stopping, if they can. 4) Perform range-of-motion exercises.
The underlying assumption in expectancy theory is that followers will be motivated
a. If they can do the work b. If they have good exchanges with their leaders c. If their efforts will result in a likely outcome d. If they get a reward that has value to them
Avoid shaking soiled linen.
Answer the following statement true (T) or false (F)