Author Question: A client is experiencing abdominal pain. What assessments should the nurse perform to assess this ... (Read 74 times)

craiczarry · **on:** Jul 23, 2018

A client is experiencing abdominal pain. What assessments should the nurse perform to assess this complaint?

1. Inspect the abdomen.
2. Auscultate the abdomen.
3. Palpate the abdomen.
4. Assess vital signs.
5. Assess peripheral pulses.

Question 2

The nurse is assessing the musculoskeletal status of a 4-year-old child. What findings should the nurse consider as being expected in this client?

1. Lordosis
2. Genu valgus
3. Genu varum
4. Pronation of the feet
5. Asymmetric leg abduction

mirabriestensky · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1, 2, 3, 4
Rationale 1: The nurse should inspect the client's abdomen.
Rationale 2: The nurse should auscultate the abdomen.
Rationale 3: The nurse should auscultate the abdomen.
Rationale 4: The nurse should assess vital signs.
Rationale 5: Although peripheral pulses may be palpated, this is not specific to a client with abdominal pain.

Answer to Question 2

Correct Answer: 1, 2

Rationale 1: Lordosis (swayback) is common in children before age 5.

Rationale 2: Genu valgus (knock-knee) is normal in preschool and early-school-age children.

Rationale 3: Genu varum (bowleg) is normal in children for about 1 year after beginning to walk.

Rationale 4: Pronation and toeing in of the feet are common in children between 12 and 30 months of age.

Rationale 5: Asymmetric abduction of the legs (Ortolani and Barlow tests) assesses for developmental dysplasia of the hip in infants.