When examining the abdomen of a client with complaints of nausea and vomiting, which of the following would the nurse do first?
A) Palpation
B) Inspection
C) Auscultation
D) Percussion
B
Feedback:
When assessing the abdomen, the nurse would first inspect or observe the abdomen. This would be followed by auscultation, percussion, and, lastly, palpation.
You might also like to view...
The daughter of an elderly client reports that the client is experiencing a decrease in hearing ability in the client's right ear. The nurse suspects a conductive hearing loss due to the presence of dried wax in the right ear canal
In which of the following ways can the nurse best validate this suspicion? 1. Perform the Weber test. 2. Perform the Rinne test. 3. Examine the external ear. 4. Perform the whisper test.
The family of a client in shock asks why the client's hands are cold. The nurse's best response is which of the following?
1. "Blood vessels constrict in shock, which takes the blood away from hands and feet.". 2. "We keep the intensive care unit cool to reduce clients' metabolic rate.". 3. "Your family member has developed a fever and chills.". 4. "This happens frequently to clients in shock states.".
A client concerned about privacy asks why it is necessary for the nurse to ask for private information and then document it in the chart. The best response by the nurse is:
1. "You will be able to read the record and review your care.". 2. "Your family can review the record and ensure that care is appropriate.". 3. "A record ensures there are no breaches of confidentiality.". 4. "You will not have to repeat the information to those who care for you.".
What is the bacteria that most commonly results in respiratory tract infections in patients receiving chemotherapy?
1. Klebsiella 2. E. coli 3. Epstein Barre Virus 4. Proteus