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Chamberlain College of Nursing NR 509 week 1 study guide

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Chapter 21: Abdomen Chapter 21: Abdomen Jarvis: Physical Examination & Health Assessment, 7th Edition MULTIPLE CHOICE 1. The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Which sound should the nurse expect to hear? a.Dullness b.Tympany c.Resonance d.Hyperresonance ANS: A The liver is located in the right upper quadrant and would elicit a dull percussion note. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 550 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. Which structure is located in the left lower quadrant of the abdomen? a.Liver b.Duodenum c.Gallbladder d.Sigmoid colon ANS: D The sigmoid colon is located in the left lower quadrant of the abdomen. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 540 MSC: Client Needs: General3. A patient is having difficulty swallowing medications and food. The nurse would document that this patient has: a.Aphasia. b.Dysphasia. c.Dysphagia. d.Anorexia. ANS: C Dysphagia is a condition that occurs with disorders of the throat or esophagus and results in difficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite. DIF: Cognitive Level: Applying (Application) REF: p. 542 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition? a.Percuss and palpate in the lumbar region. b.Inspect and palpate in the epigastric region. c.Auscultate and percuss in the inguinal region. d.Percuss and palpate the midline area above the suprapubic bone. ANS: D Dull percussion sounds would be elicited over a distended bladder, and the hypogastric area would seem firm to palpation. DIF: Cognitive Level: Applying (Application) REF: p. 540 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 5. The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is:a.Increased salivation. b.Increased liver size. c.Increased esophageal emptying. d.Decreased gastric acid secretion. ANS: D Gastric acid secretion decreases with aging. As one ages, salivation decreases, esophageal emptying is delayed, and liver size decreases. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 541 MSC: Client Needs: Health Promotion and Maintenance 6. A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these statements is trueregarding assessment of the spleen in this situation?

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