ATI Health Assessment: Abdomen

A nurse is preparing to auscultate a client's abdomen for the presence of bowel sounds. Which of the following quadrants should the nurse listen to first? a. RLQ b. LLQ c. RUQ d. LUQ

a. RLQ

A nurse is preparing to obtain information regarding a client's abdominal health history. Which of the following questions should the nurse ask? (SATA) a. are you experiencing abdominal pain? b. do you take any medications? c. have you noticed a change in your appetite? d. when was your last BM? e. have you had any changes in your urinary output?

a. are you experiencing abdominal pain? b. do you take any medications? c. have you noticed a change in your appetite? d. when was your last BM?

A nurse is preparing to inspect a clients abdomen who has liver disease. Which of the following manifestations should the nurse expect? a. dilated veins b. stretch marks c. purple striae d. rash

a. dilated veins

A nurse is preparing to inspect a MALE clients abdomen. Which of the following findings should the nurse identify as an unexpected finding? (SATA) a. everted umbilicus b. purple striae c. rash d. healed scars e. mole

a. everted umbilicus b. purple striae c. rash

A nurse is providing teaching to a client about screening prevention for colorectal cancer. Which of the following tests should the nurse include? (SATA) a. fecal occult test b. flex sigmoidoscopy c. colonoscopy d. barium enema with contrast e. bronchoscopy

a. fecal occult test b. flex sigmoidoscopy c. colonoscopy d. barium enema with contrast

A nurse is preparing to inspect a clients abdomen. Which of the following variations should the nurse expect to find? (SATA) a. silver striae b. rash c. taut skin d. healed scars e. mole

a. silver striae d. healed scars e. mole

A nurse is preparing to perform an assessment on a clients abdomen. Which of the following pieces of equipment should the nurse use? (SATA) a. stethoscope b. watch c. tape measure d. reflex hammer e. tuning fork

a. stethoscope b. watch c. tape measure

A nurse is preparing to inspect the umbilicus of a clients abdomen. Which of the following findings should the nurse identify as an unexpected finding? a. swelling b. mole c. extraversion d. scar

a. swelling

A nurse is providing dietary teaching to a client about the purpose of incorporating fiber in their diet. Which of the following information should the nurse include? a. fiber can be found in most diary products b. fiber allows larger stool to soften and pass easier c. fiber decreases peristalsis to prevent diarrhea d. fiber promotes the growth of good bacteria in the intestinal tract

b. fiber allows larger stool to soften and pass easier

A nurse is preparing to assess a clients abdomen. Upon palpation, which of the following findings should the nurse report to the provider? a. nontender b. involuntary rigidity c. relaxed muscles d. adipose tissue

b. involuntary rigidity

A nurse is preparing to auscultate a client's abdomen. Which of the following should the nurse expect if the client is experiencing borborygmus? a. hypoactive bowel sounds b. absent bowel sounds c. hyperactive bowel sounds d. normoactive bowel sounds

c. hyperactive bowel sounds

A nurse is teaching a client about the use of probiotics and incorporating them in their diet. Which of the following information should the nurse include? a. probiotics increase peristalsis to prevent constipation b. probiotics allow larger stools to soften to pass c. probiotics promote the growth of good bacteria in the clients intestinal tract d. probiotics remove fats and waste products from the body

c. probiotics promote the growth of good bacteria in the clients intestinal tract

A nurse is auscultating a client's abdomen for the presence of bowel sounds. Which of the following findings should the nurse expect for hypoactive bowel sounds? a. absent after 5 min b. every 5-30 sec c. every 3 sec d. after 2 min

d. after 2 min

A nurse is providing teaching to a client about health promotion to prevent constipation. Which of the following instructions should the nurse include? a. limit vegetables to 10% of daily intake b. drink 32 oz of water per day c. eliminate legumes from your diet d. consume foods that are high in whole grains

d. consume foods that are high in whole grains

A nurse is preparing to palpate a client's abdomen. Which of the following should the nurse expect? a. involuntary rigidity b. voluntary guarding c. boardlike d. nontender

d. nontender

A nurse is preparing to perform light palpation of a clients abdomen. In what order should the nurse perform the following steps? (Move steps into correct order). 1. use the finger pads of one hand to palpate 2. place the clients arms at their side 3. depress the clients abdomen using a dipping motion 4. moving fingers across the clients abdomen moving clockwise 5. palpate painful areas

CORRECT ORDER: 1. place the clients arms at their side 2. use the finger pads of one hand to palpate 3. depress the clients abdomen using a dipping motion 4. moving fingers across the clients abdomen moving clockwise 5. palpate painful areas