To confirm the presence of steatorrhea, which action should the nurse take?
Auscultate all quadrants of the client's abdomen.
Inspect the area around the client's umbilicus.
Lightly palpate areas of abdominal protuberance.
Observe the appearance of the client's stool.
The Correct Answer is D
A. Auscultation of the abdomen involves listening to bowel sounds and can provide information about the gastrointestinal system's activity, such as whether there is increased or decreased motility. While important for assessing general bowel function, auscultation is not specific for confirming steatorrhea. It does not provide direct information about the presence of fat in the stool.
B. Inspecting the area around the umbilicus may help in identifying other abdominal conditions, such as hernias or signs of ascites. However, it does not provide information about stool characteristics or fat content, so it is not the most appropriate action for confirming steatorrhea.
C. Light palpation of areas of abdominal protuberance can help assess for abdominal masses or tenderness. While palpation can provide useful information about the abdominal organs and possible fluid accumulation, it does not give information about stool fat content.
D. Observing the appearance of the client’s stool is the most direct method to confirm steatorrhea. Stool that is greasy, foul-smelling, and floats is characteristic of steatorrhea, indicating the presence of undigested fat. This observation directly assesses the presence of fat in the stool, making it the best action to confirm steatorrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Auscultation of the abdomen involves listening to bowel sounds and can provide information about the gastrointestinal system's activity, such as whether there is increased or decreased motility. While important for assessing general bowel function, auscultation is not specific for confirming steatorrhea. It does not provide direct information about the presence of fat in the stool.
B. Inspecting the area around the umbilicus may help in identifying other abdominal conditions, such as hernias or signs of ascites. However, it does not provide information about stool characteristics or fat content, so it is not the most appropriate action for confirming steatorrhea.
C. Light palpation of areas of abdominal protuberance can help assess for abdominal masses or tenderness. While palpation can provide useful information about the abdominal organs and possible fluid accumulation, it does not give information about stool fat content.
D. Observing the appearance of the client’s stool is the most direct method to confirm steatorrhea. Stool that is greasy, foul-smelling, and floats is characteristic of steatorrhea, indicating the presence of undigested fat. This observation directly assesses the presence of fat in the stool, making it the best action to confirm steatorrhea.
Correct Answer is A
Explanation
A. Pain radiating to the neck, jaw, or medial side of the left arm is a classic symptom of an acute myocardial infarction (AMI). This type of referred pain occurs because the heart's pain signals are often perceived in other areas of the body. This finding is a strong indicator of AMI and is consistent with the typical presentation of myocardial infarction.
B. Pain in the anterior thorax that radiates between the scapulae can be associated with various conditions, including myocardial infarction, but it is less specific than pain radiating to the neck, jaw, or arm. While this type of pain can occur in AMI, it is not as distinctive as the classic left arm pain and may also be seen in conditions like angina or musculoskeletal issues.
C. Localized sternal border pain that worsens with palpation is more indicative of a musculoskeletal issue, such as costochondritis, rather than an acute myocardial infarction. AMI typically presents with diffuse chest pain that is not localized or worsened by palpation.
D. Chest pain that worsens with chest movement, such as deep breathing or coughing, is more characteristic of pleuritic pain or musculoskeletal pain rather than an acute myocardial infarction. In AMI, the pain is generally persistent and not influenced by respiratory movements.
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