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 D

No explanation

A. "I should never attempt to reach into my stoma to remove fecal material." B. "Using warm enema will reduce cramping and discomfort during the procedure." C. "To properly irrigate and clean my ostomy stoma, I can use any solution that is convenient." D. "Sitting on the toilet lets the ostomy bag and irrigant drain into the toilet bowl."

Correct Answer is C

Explanation

Choice A This statement is correct, as patients should never attempt to insert anything into the stoma to remove fecal material.

Choice B This statement is also correct, as using warm water for irrigation can help reduce discomfort and cramping during the procedure.

Choice C This statement is incorrect. Patients should use only the irrigation solution recommended by their healthcare provider, as using the wrong solution can lead to complications or damage to the stoma.

Choice D This statement is correct, as sitting on the toilet allows the ostomy bag and irrigation solution to drain directly into the toilet, making the procedure more convenient.

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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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Explanation

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