A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?
Lower right quadrant
Upper right quadrant
Upper left quadrant
Lower left quadrant
The Correct Answer is D
A. Lower right quadrant pain is often associated with appendicitis or other conditions, not typically diverticular disease.
B. Upper right quadrant pain is usually related to liver, gallbladder, or duodenal issues.
C. Upper left quadrant pain is more common with conditions like gastritis or pancreatic disorders.
D. Lower left quadrant pain is characteristic of diverticular disease, particularly diverticulitis, where inflammation occurs in the sigmoid colon.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fresh flowers and potted plants should be avoided in the room of a client with neutropenia because they can harbor bacteria and fungi, which can increase the risk of infection.
B. Oral fluid intake should be encouraged throughout the day to maintain hydration and support overall health, rather than restricting it to between meals.
C. While activities that could result in bleeding should be managed cautiously, the primary concern for a client with neutropenia is the risk of infection, not bleeding.
D. Restricting all visitors is not necessary unless directed by specific protocols; rather, visitors should follow strict hygiene practices to prevent infection.
Correct Answer is A
Explanation
A. A WBC count of 1500/mm3 is significantly low (normal range is 4500-11000/mm3) and indicates neutropenia, placing the client at high risk for infection. This finding should be reported to the provider immediately.
B. An RBC count of 5 million/mm3 is within the normal range for females (4.2-5.4 million/mm3) and does not indicate an immediate concern in the context of chemotherapy.
C. Platelet count of 155,000/mm3 is on the lower end of the normal range (150,000-450,000/mm3) but does not pose an immediate risk compared to neutropenia.
D. A hemoglobin level of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require urgent reporting.
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