NUR 216 Exam 4 Review – Questions With Valid Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (81)
The nurse is assessing a newly admitted Inspect, auscultate, percuss and then palpate
client with complaints of abdominal pain.
What order of assessment should the nurse
conduct?
The nurse was assessing a clients abdomen Auscultate to avoid the distortion of bowel sounds.
and she proceeds to inspect the abdomen
from two angles and then begins to palpate.
What should the nurse have done first and
why?
The nurse was auscultating a patients bowel Abnormal, this would equal 180 clicks per minute which is
sounds and was hearing 3 clicks every hyperactive needs to be 5-34.
second. Is this normal or abnormal?
A patient with complaints of constipation D
and no bowel movements in 5 days presents
to the ER. What degree of bowel sounds will
the nurse most likely hear?
A. Hyperactive
B. Absent
C. Present
D. Hypoactive
A nurse has a patient with an late Constipated so hypoactive
obstruction on the abdomen, what bowel
sounds will be present with this patient?
A nurse has a patient with an early diarrhea so hyperactive
obstruction, which bowel sounds will be
present with this patient?
A student nurse is coming up with a care A and C. Want to increase fiber, fluids and exercise
plan for a constipated patient. Which
interventions should the nurse include?
Select all that apply.
A. increase fiber in diet
B. decrease amount of fluids
C. increase exercise and mobility
D. run water in the bathroom
E. increase rice intake
, A patient presents to the ER with a hernia. B
What priority question is important for the
nurse to ask in this situation?
A. If it was grown recently
B. If it is painful
C. If it has moved places
What kind of stools can both patients have Melena
with both upper and lower GI bleeds?
A patient presents coughing up blood and B
with blackened tarry stools. What is most
likely occurring with the patient?
A. GERD
B. Upper GI bleed
C. constipation
D. Fecal impaction
A patient presents to the ER with red bloody Lower GI bleed
stools. What kind of GI bleed does this
patient have?
What is the best way to assess pain with a Patient self report. If not able to then with their non verbal
patient? cues.
A nurse is caring for a patient with Liver, pancreas, and gall bladder.
abdominal issues. She is assessing their
abdomen and is percussing the Rt
Hypochondriac region and hears dullness.
What organs are present?
A nurse is caring for a patient who presents Rt Upper Quadrant or Rt Hypochondriac
to the ER with an onset of jaundice. Where
region should the nurse focus her
assessment in the abdomen?
A new patient presents to the ER with pain in Spleen
the Lt hypochondriac region. What is most
likely the organ causing the pain?
Where are the uterus and ovaries located Ovaries on rt and Lt lumbar and the uterus is towards the
for a pregnant women? center as they displace during pregnancy.
What regions are the kidneys located? Rt and Lt lumbar regions.
A patient presents to the ER with a Severe Palpate the costovertebral angle or CVA for tenderness
UTI infection that has traveled up the
ureters. What assessment should the nurse
conduct for pain?
What regions are the appendix or cecum Rt Lower quadrant or iliac region
located?
What are normal abdominal findings? flat belly, even hair distribution, centered umbilicus, symmetry
A patient presents with a sigmoid Lt lower quadrant
colostomy. What location should the nurse
document in the patients chart?
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (81)
The nurse is assessing a newly admitted Inspect, auscultate, percuss and then palpate
client with complaints of abdominal pain.
What order of assessment should the nurse
conduct?
The nurse was assessing a clients abdomen Auscultate to avoid the distortion of bowel sounds.
and she proceeds to inspect the abdomen
from two angles and then begins to palpate.
What should the nurse have done first and
why?
The nurse was auscultating a patients bowel Abnormal, this would equal 180 clicks per minute which is
sounds and was hearing 3 clicks every hyperactive needs to be 5-34.
second. Is this normal or abnormal?
A patient with complaints of constipation D
and no bowel movements in 5 days presents
to the ER. What degree of bowel sounds will
the nurse most likely hear?
A. Hyperactive
B. Absent
C. Present
D. Hypoactive
A nurse has a patient with an late Constipated so hypoactive
obstruction on the abdomen, what bowel
sounds will be present with this patient?
A nurse has a patient with an early diarrhea so hyperactive
obstruction, which bowel sounds will be
present with this patient?
A student nurse is coming up with a care A and C. Want to increase fiber, fluids and exercise
plan for a constipated patient. Which
interventions should the nurse include?
Select all that apply.
A. increase fiber in diet
B. decrease amount of fluids
C. increase exercise and mobility
D. run water in the bathroom
E. increase rice intake
, A patient presents to the ER with a hernia. B
What priority question is important for the
nurse to ask in this situation?
A. If it was grown recently
B. If it is painful
C. If it has moved places
What kind of stools can both patients have Melena
with both upper and lower GI bleeds?
A patient presents coughing up blood and B
with blackened tarry stools. What is most
likely occurring with the patient?
A. GERD
B. Upper GI bleed
C. constipation
D. Fecal impaction
A patient presents to the ER with red bloody Lower GI bleed
stools. What kind of GI bleed does this
patient have?
What is the best way to assess pain with a Patient self report. If not able to then with their non verbal
patient? cues.
A nurse is caring for a patient with Liver, pancreas, and gall bladder.
abdominal issues. She is assessing their
abdomen and is percussing the Rt
Hypochondriac region and hears dullness.
What organs are present?
A nurse is caring for a patient who presents Rt Upper Quadrant or Rt Hypochondriac
to the ER with an onset of jaundice. Where
region should the nurse focus her
assessment in the abdomen?
A new patient presents to the ER with pain in Spleen
the Lt hypochondriac region. What is most
likely the organ causing the pain?
Where are the uterus and ovaries located Ovaries on rt and Lt lumbar and the uterus is towards the
for a pregnant women? center as they displace during pregnancy.
What regions are the kidneys located? Rt and Lt lumbar regions.
A patient presents to the ER with a Severe Palpate the costovertebral angle or CVA for tenderness
UTI infection that has traveled up the
ureters. What assessment should the nurse
conduct for pain?
What regions are the appendix or cecum Rt Lower quadrant or iliac region
located?
What are normal abdominal findings? flat belly, even hair distribution, centered umbilicus, symmetry
A patient presents with a sigmoid Lt lower quadrant
colostomy. What location should the nurse
document in the patients chart?
