The nurse is assessing a client with abdominal complaints. The ...

[rosent76]

The nurse is assessing a client with abdominal complaints. The nurse performs deep palpation of the abdomen for which reason?
 
  A) Detect abdominal masses
  B) Determine abdominal firmness
  C) Assess softness of abdominal muscles
  D) Assess degree of abdominal distention

Question 2

A nurse is providing discharge instructions for a client with a new colostomy. Which of the following is a recommended guideline for long-term ostomy care?
 
  A) During the first six to eight weeks after surgery, eat foods high in fiber.
  B) Drink at least two quarts of fluids, preferably water, daily.
  C) Use enteric-coated or sustained-release medications if needed.
  D) Use a mild laxative if needed.

[ErinKing]

Answer to Question 1

Ans: A
The purpose of the deep palpation is to detect abdominal masses. Light palpation of the abdomen helps to determine the firmness or softness of the abdominal muscles and the degree of abdominal distention.

Answer to Question 2

Ans: B
During the first six to eight weeks after surgery, the nurse should encourage the client with an ostomy to avoid foods high in fiber (e.g., foods with skins, seeds, and shells) as well as any other foods that cause diarrhea or excessive flatus. By gradually adding new foods, the ostomy client can progress to a normal diet. The nurse should urge clients to drink at least two quarts of fluids, preferably water, daily. The use of liquid, chewable, or injectable forms rather than long-acting, enteric-coated, or sustained-release medications is recommended. Laxatives and enemas are dangerous because they may cause severe fluid and electrolyte imbalance.