A nurse is completing a client assessment for admission to the medical unit. Which of the following abdominal assessment findings require further investigation by the nurse?

Bilateral bowel sounds in lower quadrants

Symmetrical convex sphere shape

Ecchymosis

Concave umbilicus

Answer and Explanation

The Correct Answer is C

A. Bilateral bowel sounds in the lower quadrants are normal and do not require further investigation unless they are abnormal in frequency or tone.

B. A symmetrical convex sphere shape of the abdomen can be a normal finding, especially in a well-nourished individual.

C. Ecchymosis (bruising) may be a sign of trauma, bleeding disorders, or other underlying health conditions that require further investigation.

D. A concave umbilicus may be normal or could indicate a past surgical history or conditions like malnutrition, but it doesn't inherently require investigation unless associated with other symptoms.

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Correct Answer is B

Explanation

A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.

B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.

C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.

D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.

A. Quaternary B. Tertiary C. Secondary D. Primary

Correct Answer is D

Explanation

A. Quaternary prevention focuses on preventing over-medicalization or unnecessary interventions in health care.

B. Tertiary prevention aims to reduce the impact of an already established disease, such as rehabilitation.

C. Secondary prevention focuses on early detection of disease to prevent progression, such as through screenings.

D. Primary prevention aims to prevent the onset of disease or injury before it occurs. Immunizations and water fluoridation are both measures that help prevent disease in the general population before it starts.

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A nurse is completing a client assessment for admission to the medical unit. Which of the following abdominal assessment findings require further investigation by the nurse?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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