A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.

Use fingertips to lightly depress the right lower quadrant of the client's abdomen.

Systematically percuss the client's abdomen.

Observe the contours of the client's abdomen using a penlight

Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Answer and Explanation

The Correct Answer is D,E,C,B,A

A.   Deep palpation is the final step in an abdominal examination since it may elicit tenderness which may interfere with other aspects of examination.
B.   This is the second last step just before deep palpation. It is used to detect any obvious masses or areas of tenderness.
C.   Percussion is the third step in an abdominal examination where the nurse should percuss the client's abdomen systematically, tapping lightly on each area and noting the sound quality. It can be used to detect the presence of ascites which be stony dull on percussion.
D.   Inspection is the first step where the nurse should inspect the contours of the client's abdomen using a penlight, looking for any abnormalities or distension.

E.   Auscultation is the second step in an abdominal examination. The nurse should auscultate the client's abdomen using the diaphragm of the stethoscope, listening for bowel sounds in all four quadrants.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Cooling the solution is not necessary and may cause discomfort to the client.

B. Using a syringe with a catheter allows for precise and controlled irrigation of the wound, helping to remove debris and promote healing.
C. Wearing a fresh pair of gloves for irrigation helps prevent contamination and reduces the risk of infection.
D. Administering analgesia may help manage pain during the procedure, but it is not directly related to the technique of wound irrigation.

A. Leave a transfer belt in place until the client returns from radiology. B. Lower the footplates before transferring the client from the bed. C. Back the wheelchair into the elevator. D. Position the client so their weight is shifted forward

Correct Answer is B

Explanation

A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Lowering the footplates before transferring the client from the bed helps to prevent injury to the client's feet and legs during the transfer.
C. Backing the wheelchair into the elevator is not necessary, as long as there is enough space to maneuver the wheelchair inside.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer is B

Explanation

A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?

A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is teaching a client about logrolling while in bed. Which of the following information should the nurse include in the teaching?

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?

A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states. "I cannot do this. I do not want this surgery." Which of the following actions should the nurse take?

A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?