NURS 251 Portage Study Guide 4

To percuss the upper border of the liver of an adult client, where should the nurse begin the assessment? At the client's . . . A. Right MCL, 5th ICS B. Right MCL, below umbilicus C. Left MCL, 5th ICS D. Left MCL, below umbilicus - A. To palpate for tenderness of an adult client's appendix, the nurse should begin the abdominal assessment at the client's . . . A. left upper quadrant B. left lower quadrant C. right upper quadrant D. right lower quadrant - D. The nurse is planning to assess the abdomen of an adult male client. Before the nurse begins the assessment, the nurse should . . . A. ask the client to empty his bladder B. place the client in a side-lying position C. ask the client to hold his breath for a few seconds D. tell the client to raise his arms above his head - A. The nurse is assessing the abdomen of an adult client and observes a purple discoloration at the flanks. The nurse should refer the client to a physician for which possible condition? A. liver disease B. abdominal distention C. Cushing's syndrome D. internal bleeding - D. The nurse is assessing the bowel sounds of an adult client. After listening to each quadrant, the nurse determines that bowel sounds are not present. The nurse should refer the client to a physician for possible . . . A. aortic aneurysm B. paralytic ileus C. gastroentertitis D. fluid and electrolyte imbalances - B. During a physical examination of an adult client, when should the nurse auscultate the client's abdomen? A. After palpating the abdomen but before percussion B. After percussing the abdomen C. After inspection of the abdomen and before palpation D. First, before Inspection, Palpation, and Percussion - C. The nurse is planning to assess a client's abdomen for rebound tenderness. The nurse should . . . A. perform this abdominal assessment first B. ask the client to assume a side-lying position C. palpate lightly while slowly releasing pressure D. palpate while quickly releasing pressure - D. Match the signs below to the possible condition they represent. Rebound tenderness when RLQ palpated; appendicitis - McBurney's sign Match the signs below to the possible condition they represent. Abdominal pain radiating to left shoulder; spleen - Kehr's sign Match the signs below to the possible condition they represent. Abrupt stopping of breathing when palpating RUQ; gallbladder - Murphy's sign Match the signs below to the possible condition they represent. Ecchymosis of flanks; internal bleeding - Grey-Turner's sign Match the signs below to the possible condition they represent. Ecchymosis around umbilicus; internal bleeding - Cullen's sign Which one of the following is a risk factor for breast cancer? A. Consuming 2 or more drinks of Alcohol per day B. Beginning menopause at 45 years of age C. Male gender D. Having 2 children before age 30 - A. Which age group is the prevalence of testicular cancer the highest? A. Males age 65 to 75 B. Males age 35 to 50 C. Males age 15 to 30 D. Males age 5 to 10 - C. Which area of the breast is breast cancer the most prevalent? A. Upper inner quadrant B. Upper outer quadrant C. Lower inner quadrant D. Lower outer quadrant - B. While inspecting the perianal area of a patient, a small dimple with a tuft of hair is noted sacrococcygeal area. The nurse documents this finding as a . . . A. Hemorrhoid B. Perianal abscess C. Rectal Cancer D. Pilonidal cyst - D. A male patient complains of pain in his genital area. Upon inspection and palpation, the patient's scrotum is enlarged, reddened, and tender. The nurse suspects which of