While palpating the abdominal organs during a physical assessment of a client, which of the following organs will the nurse most likely not be able to assess? (Select all that apply.)
1. Liver
2. Gallbladder
3. Pancreas
4. Kidney
5. Spleen
6. Colon
3, 5
The pancreas is not palpable, and the spleen is not normally palpable during an assessment. The other organs can be palpated during the physical assessment of the abdomen.
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A) A thin, tall appearance B) A scald burn on his chest C) Linear abrasions on his ankles and wrists D) A maculopapular rash on the buttocks
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What will be an ideal response?
Which assessment finding indicates a complication in the client attempting a vaginal birth after cesarean (VBAC)?
a. Complaint of pain between the scapulae b. Change in fetal baseline from 128 to 132 bpm c. Contractions every 3 minutes lasting 70 seconds d. Pain level of 6 on scale of 0 to 10 during acme of contraction
The nurse is reinforcing teaching provided to a patient with rheumatoid arthritis (RA). Which patient statement indicates understanding of the symptoms of RA?
a. Fatigue b. Paralysis c. Crepitation d. Shortness of breath