The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? (Use all options.)

Palpation.

Inspection.

Auscultation.

Percussion.

Answer and Explanation

The Correct Answer is B

Inspection, followed by Auscultation, Percussion, and Palpation. Inspection assesses for abdominal contour, symmetry, any visible masses, scars or other abnormalities. Auscultation assesses bowel sounds, and Percussion assesses for any areas of tenderness, and to determine the presence of fluid, gas or masses. Palpation assesses for any masses, areas of tenderness, organ size or other abnormalities. This is the order that allows the nurse to assess the abdomen systematically and accurately.

A: Palpation comes last because it can stimulate bowel sounds, which can make the nurse miss some of the sounds while auscultating.

C: Auscultation must be done before percussion and palpation to prevent altering bowel sounds.

D: Percussion comes before palpation to avoid altering the underlying structures of the abdomen.

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Correct Answer is B

Explanation

Glucose tolerance test in combination with a Growth hormone measurement. Acromegaly is a condition in which there is an excess of growth hormone (GH) production by the anterior pituitary gland, resulting in abnormal growth of bones and tissues in the body. The definitive diagnostic test for acromegaly involves a glucose tolerance test combined with a measurement of GH levels. During the test, the client will be given a dose of glucose, and the GH levels will be measured before and after the glucose is given. In acromegaly, the GH levels remain elevated even after glucose administration.

Choice A, bone radiographs, may show the enlarged bones associated with acromegaly, but it is not the definitive diagnostic test for the condition.

Choice C, growth hormone levels, is not specific enough for diagnosing acromegaly, as elevated GH levels can occur in other conditions as well.

Choice D, a serum glucose level, is not specific for acromegaly, as the glucose level may be normal in clients with the condition.

A. NSAIDs. B. Aspirin. C. Corticosteroids. D. Topical analgesics. E. TENS unit.

Correct Answer is ["A","C","D","E"]

Explanation

NSAIDs, corticosteroids, topical analgesics, and TENS units are medications that may be used to help degenerative joint disorders. NSAIDs, such as ibuprofen, naproxen, and aspirin, help to reduce inflammation and relieve pain. Corticosteroids, such as prednisone, are powerful anti-inflammatory agents used for severe symptoms. Topical analgesics, such as creams or patches, can help relieve localized pain. TENS units use electrical stimulation to reduce pain and improve function. Aspirin is not a medication commonly used for degenerative joint disorders.

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The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? (Use all options.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is suspected of having acromegaly. What definitive diagnostic testing is the most reliable for confirming acromegaly?

Correct Answer is B

Explanation

The nurse is caring for a client with a degenerative joint disorder and is providing education about different medications that may be used to help the disorder. The nurse provides education for (SATA):.

Correct Answer is ["A","C","D","E"]

Explanation

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