Abdominal, and GU Assessment
Quiz by Kayla
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25 questions
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- Q1When performing the initial hx and physical examination of a client with a tentative diagnosis of peptic ulcer, the nurse expects the reported pain to:Located in R. shoulder and preceded by nauseaHeartburn and substernal discomfort when lying downSudden, sharp abdominal pain, increasing in intensityGnawing epigastric pain or dull pain in the back30s
- Q2A 79-year-old client is admitted to the hospital with painful abdominal spasms and severe diarrhea of 2 days duration. The order of physical skills the nurse should follow when performing an admitting examination of the client should be "inspection" followed by:Auscultation, palpation, percussionPercussion, palpation, auscultationPercussion , palpation, auscultationAuscultation, percussion, palpation30s
- Q3When assessing a clients abdomen, the nurse palpates the area directly above the umbilicus. This area is known as the:Epigastric areaIliac areaSuprasternal areaHypogastric area30s
- Q4A client is suspected of having a gastric peptic ulcer. When obtaining history from this client, the nurse expects the reported pain to:Occur one to three hours after mealsIncrease when the client eats fatty foodsintensify when the client vomitsBegin in the epigastrium, radiating across the abdomen30s
- Q5A client who has a hiatel hernia is 5'3" and weighs 175lbs, ask the nurse how to prevent esophageal reflux. The nurses best response is:"Lie down after eating to help your digestion""Drink several glasses of fluid during each of your meals""Increase our intake of fat with each meal""Reduce your caloric intake to foster weight reduction"30s
- Q6A traveling salesman develops a gastric bleeding and is hospitalized. An important etiologic clue for the nurse to explore while taking this clients history is:The clients usual dietary patternAny change in the status of family relationshipsAny recent foreign travelThe medications the client is taking30s
- Q7A client is diagnosised as having a peptic ulcer. When teaching about peptic ulcers, the nurse instructs the client to report any stools that appear:Ribbon Shapedpale or clay coloredFrothyDark brown or black30s
- Q8For a patient who has cholecystitis, which foods should the nurse inform the patient not to eat:chocolate and boiled shrimpFried chicken and butter cornsalmon and asparagusnuts and salted popcorn30s
- Q9When assessing a client who had abdominal surgery, the nurse determines that peristalsis has returned when the client first:Passes flatusTolerates clear liquidsHas a bowl movementHas bowl sounds30s
- Q10When teaching a community health class about the signs of colorectal cancer, the nurse stresses that the most common FIRST complaint of persons with colorectal cancer is:rectal bleedingabdominal painChange in bowl habitsdecrease in diameter of stool30s
- Q11A patient comes in with severe, sharp and persistent pain in the RLQ. She explains to the nurse, that she delayed coming to clinic, because it was only initially a dull pain and she assumed it was mere gas. What diagnosis would nurse anticipate?cholecystitispeptic ulcerpancreatitisAppendicitis30s
- Q12A 45 year old women comes to the clinic complaining of pain in her RUQ and radiates to her left scapula. The pain usually increases for a few hours after eating at her favorite restaurant, McDonalds. The nurse suspects Cholecystitis, which assessment should she perform?Hooking TechniqueRebound Tenderness (Blumberg Sign)Fluid TestInspiratory Arrest (Murphy Sign)30s
- Q13A client has experienced hematemesis, what is this?Blood in the stoolBlood in the vomitBlood in the sputumBlood in the urine30s
- Q14The nurse assessing an older client who has lost 35 pounds since her last visit, 1 year ago. The client tells the nurse her husband died 2 months ago. The nurse should assess for:Appetite changesPeptic ulcerPancreatic disordersBulimia30s
- Q15Prostatic hypertophy occurs frequently in older men. The symptoms that may indicate this problem are:straining, loss of force, and a sense of residual urinedysuria and olgiuriafoul-smelling urine and dysuriapolyuria and urgency30s