The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

Recognizes this dullness as indicative of an enlarged liver, and refers the client to a provider

Document the presence of hepatomegaly

Ask additional health history questions regarding alcohol intake

Recognizes this finding as normal, and proceed with the examination

Answer and Explanation

The Correct Answer is A

A.   Dullness above the right costal margin could indicate an enlarged liver. Referring the client to a healthcare provider is crucial for further evaluation and diagnosis.
B.   Documenting hepatomegaly without further investigation or confirmation by a healthcare provider could be premature.
C.   While alcohol intake can be a factor in liver conditions, additional history alone may not confirm the cause of the dullness. Direct evaluation by a healthcare provider is necessary.
D.   Finding an area of dullness above the right costal margin, particularly of such magnitude, should prompt further investigation rather than being considered normal.

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Correct Answer is A

Explanation

A. Osteoporosis involves a reduction in bone density, making bones weaker and more susceptible to fractures.
B. Osteoporosis doesn't refer to new bone growth; instead, it involves the weakening of existing bone structure.
C. While calcium intake is crucial for bone health, osteoporosis is a multifactorial condition influenced by various factors beyond just calcium intake.
D. Osteoporosis can occur in menopausal women due to hormonal changes, but it's not solely attributed to the lack of hormone replacement therapy. Hormones play a role in bone health, but osteoporosis is fundamentally about bone density loss.

A. Interphalangeal B. Tibiotalar C. Metacarpophalangeal D. Tarsometatarsal

Correct Answer is A

Explanation

A. Interphalangeal joints are the joints between the phalanges, since the client is unable to remove a ring, the most likely affected joint is the interphalangeal joint.
B. The Tibiotalar joint is the ankle joint.
C. Metacarpophalangeal joint refers to the joint between the metacarpal bones in the upper limbs and the phalanges.
D. Tarsometatarsal joints are the joints between the tarsal bones of the foot and metatarsal bones.

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The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Explanation

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