When assessing the abdomen, which assessment technique is used last?

percussion

auscultation

palpation

inspection

Answer and Explanation

The Correct Answer is C

A. Percussion: Percussion is typically performed before palpation. It helps to detect differences in density of abdominal contents, fluid presence, and gas patterns.

B. Auscultation: Auscultation is performed before any palpation or percussion to prevent altering bowel sounds. It is typically the second step after inspection.

C. Palpation: Palpation is used last during an abdominal assessment to prevent altering the characteristics of bowel sounds and to ensure that any tenderness or abnormal masses are identified after a thorough initial assessment. Palpation can cause changes in bowel sounds and tenderness.

D. Inspection: Inspection is always the first step in any physical examination. It allows for a visual assessment of the abdomen, looking for distension, asymmetry, and skin changes.

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Correct Answer is D

Explanation

A. Set client-centered, measurable and realistic goals: This occurs during the planning stage, after data collection and analysis.

B. Critically analyze client data to determine priorities: This step happens after data collection during the diagnosis phase.

C. Determine effectiveness of interventions: This is part of the evaluation stage, which comes after planning and implementation.

D. Collect and organize client data: This is the first step in the nursing process, where the nurse gathers comprehensive information about the client's physical, psychological, sociocultural, developmental, and spiritual needs.

A. Obesity B. Fad dieting C. Anorexia nervosa D. Eating fast foods

Correct Answer is C

Explanation

A. Obesity: While obesity can be linked to a negative self-concept, it is not as closely associated with a "skeletal appearance" as anorexia nervosa.

B. Fad dieting: Fad dieting may indicate concerns about body image, but it does not typically lead to a skeletal appearance and may not necessarily be tied to a deeply negative self-concept.

C. Anorexia nervosa: Anorexia nervosa is characterized by extreme weight loss and a skeletal appearance. It is often associated with a severely negative self-concept and distorted body image, where individuals see themselves as overweight even when they are underweight.

D. Eating fast foods: While this can lead to poor nutritional habits and weight issues, it does not typically lead to a skeletal appearance and is not directly associated with a negative self-concept.

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When assessing the abdomen, which assessment technique is used last?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is receiving a change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?

Correct Answer is D

Explanation

A school nurse is concerned about the almost skeletal appearance of one of the high school students. Although all of the following nutritional problems can occur in adolescents, which one is most often associated with a negative self-concept?

Correct Answer is C

Explanation

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