The nurse is preparing to measure the client's abdominal girth as part of the physical examination. At which location would the nurse most likely measure?
A) In the right upper quadrant
B) At the umbilicus
C) At the lower border of the liver
D) Just below the last rib
B
Feedback:
Measurement of abdominal girth is done at the widest point, which is usually the umbilicus. The right upper quadrant, lower border of the liver, or just below the last rib would be inappropriate sites for abdominal girth measurement.
You might also like to view...
A nurse is caring for four patients; three are toddlers and one is a preschooler. Which represents the major stressor of hospitalization for these four patients?
a. Separation anxiety b. Loss of control c. Fear of bodily injury d. Fear of pain
A nurse is educating coworkers on the establishment of collective bargaining. The nurse knows the teaching has been successful when a coworker states:
a. "Collective bargaining is still not recog-nized by hospitals.". b. "Nurse activists believed in a unified voice for nurses.". c. "Nurse activists wanted to option of working more hours.". d. "Collective bargaining is not effective.".
A client asks the nurse which blood vessels supply blood to the heart muscle. Which response by the nurse is the most appropriate?
1. "The jugular veins." 2. "The carotid arteries." 3. "The coronary arteries." 4. "The saphenous veins."
Why would the nurse assess a patient's religion when completing the health history process?
A. Religion plays a role in the perception of health and illness. B. Helps explain recreational habits C. Provides information about the patient's geographic location D. Explains nutritional preferences