During an abdominal examination, the nurse palpates a bulging area in the Right Lower Quadrant of a female patient. The nurse suspects that this mass could be associated with which of the following organs? (Select all that apply.)

Sigmoid colon

Appendix

Right Fallopian Tube

Ascending Colon

Right kidney

Right side of the prostate

Answer and Explanation

Correct Answer : B,C,D

A) Sigmoid colon: The sigmoid colon is located in the Left Lower Quadrant (LLQ) of the abdomen. Therefore, a bulging area in the Right Lower Quadrant (RLQ) would not be associated with the sigmoid colon.
B) Appendix: The appendix is located in the Right Lower Quadrant and is a common site for abdominal masses, especially in cases of appendicitis. A bulging area in the RLQ could very well be related to issues with the appendix.
C) Right Fallopian Tube: The right fallopian tube is located in the RLQ of the abdomen. Conditions affecting the fallopian tube, such as an ectopic pregnancy or tubo-ovarian abscess, could cause a bulging area in this quadrant.
D) Ascending Colon: The ascending colon is also situated in the RLQ. A mass or bulge in this area could be related to conditions affecting the ascending colon, such as colonic obstruction or tumors.
E) Right kidney: The right kidney is located in the upper abdominal area and is more likely to cause tenderness or discomfort in the upper quadrants rather than a bulging mass in the RLQ.
F) Right side of the prostate: The prostate gland is located in the pelvic area, specifically in the male pelvis, and would not typically be associated with a bulging mass in the RLQ of a female patient.

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Correct Answer is D

Explanation

A. Flatness: This percussion note is typically associated with areas of high density, such as over muscle or a solid organ like the liver. In a pneumothorax, the lung tissue is not solidified, so flatness is not expected.
B. Dullness: Dullness is generally noted over fluid-filled areas or solid structures, such as a pleural effusion or a mass. In the case of a pneumothorax, where there is air in the pleural space, dullness would not be the expected finding.
C. Resonance: Resonance is the normal percussion note over healthy lung tissue. It indicates normal air-filled lung spaces. In a pneumothorax, the increased air in the pleural space causes an abnormal note.
D. Hyperresonance: This percussion note is associated with increased air in the pleural space, as seen in conditions like a pneumothorax. The extra air causes a more resonant, hollow sound when percussed, distinguishing it from normal lung resonance.

A. Assist the client to a standing position. B. Focus a penlight on the client's chest. C. Use tangential lighting D. Use perpendicular lighting.

Correct Answer is C

Explanation

A. Assist the client to a standing position: While positioning can be important for various assessments, inspecting the apical impulse is best done with the client in a supine or left lateral position. Standing may not provide the best view or palpation for the apical impulse, which is usually assessed more accurately in a different position.

B. Focus a penlight on the client's chest: A penlight alone may not provide sufficient illumination for detailed inspection of the apical impulse. It is more important to use appropriate lighting techniques to ensure a clear view of the heart's movements.

C. Use tangential lighting: Tangential lighting is particularly useful for inspecting and palpating the apical impulse because it casts light across the surface, highlighting contours and movements. This type of lighting helps the nurse visualize the apical impulse more clearly by creating shadows that accentuate the impulse's presence and movements.

D. Use perpendicular lighting: Perpendicular lighting might not be as effective in highlighting the subtle movements of the apical impulse. Tangential lighting is preferred because it creates shadows and contrasts that make the apical impulse more visible and easier to assess.

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During an abdominal examination, the nurse palpates a bulging area in the Right Lower Quadrant of a female patient. The nurse suspects that this mass could be associated with which of the following organs? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with a Pneumothorax on the right lung. During the assessment, when percussing this area the nurse expects to find the percussion note as:

Correct Answer is D

Explanation

The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

Correct Answer is C

Explanation

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