A nurse performs an abdominal assessment on 4 patients. Which of the following would be considered a normal abdominal assessment?

Abdomen nondistended, soft, with active bowel sounds in all four quadrants.

Abdomen distended, firm, with hypoactive bowel sounds in all four quadrants.

Abdomen distended, soft, with hyperactive bowel sounds in all four quadrants.

Abdomen nondistended, firm, with hypoactive bowel sounds in all four quadrants.

Answer and Explanation

The Correct Answer is A

Choice A This is considered a normal abdominal assessment. The abdomen is soft and not distended, and bowel sounds are present and normal in all four quadrants.

Choice B Abdominal distension and firmness may indicate possible bowel obstruction or other gastrointestinal issues. Hypoactive bowel sounds suggest reduced motility, which is not normal.

Choice C Abdominal distension with hyperactive bowel sounds may indicate gastrointestinal irritation or increased motility, which is not normal.

Choice D A firm abdomen with hypoactive bowel sounds is not typical of a normal abdominal assessment.

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Correct Answer is C

No explanation

A. Cause of the patient's anxiety and fear. B. Patient's bowel sounds and presence of gas. C. Family's questions about the procedure. D. Patient's lung sounds and respiratory rate.

Correct Answer is A

Explanation

Choice A Addressing the cause of the patient's anxiety and fear is the priority to provide

emotional support and comfort. The nurse should actively listen to the patient's concerns and offer appropriate reassurance and information.

Choice B While assessing the patient's bowel sounds and gas is important for the overall care, it is not the priority at this moment when the patient is expressing fear and anxiety.

Choice C Addressing the family's questions is important, but the patient's emotional wellbeing should be the immediate focus.

Choice D Respiratory assessment is essential but is not the priority when the patient is expressing fear and anxiety about the upcoming surgery.

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A nurse performs an abdominal assessment on 4 patients. Which of the following would be considered a normal abdominal assessment?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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