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Author Question: While conducting an abdominal assessment, the nurse notes dullness on percussion when the patient ... (Read 93 times)

natalie2426

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While conducting an abdominal assessment, the nurse notes dullness on percussion when the patient turns from the supine position to the right side. How should the nurse interpret this finding?
 
  1. The patient is exhibiting normal findings.
  2. The patient is exhibiting signs consistent with ascites.
  3. The patient is exhibiting signs consistent with a bowel obstruction.
  4. The patient is exhibiting signs consistent with hepatomegaly.

Question 2

The nurse is preparing to assess a young adult female with right-upper-quadrant abdominal pain. Which question should the nurse ask when performing this assessment?
 
  1. Does the pain worsen when you inhale?
  2. Do you have a history of diabetes?
  3. When you eat, do you experience any nausea?
  4. Have your periods been normal?



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Ptupou85

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Answer to Question 1

Correct Answer: 2
The patient is exhibiting evidence of ascites. The dullness on percussion is present with position changes. This is not a normal finding. Percussion of a side-lying patient is not used to assess for a bowel obstruction or hepatomegaly.

Answer to Question 2

Correct Answer: 1
The patient with inflammation of the gallbladder feels sharp pain on inspiration and stops inspiring. Neither diabetes nor menstruation causes right-upper-quadrant abdominal pain. Information about eating and nausea would not be helpful in determining the cause of the patient's pain.





 

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