abdomen practice quiz

The ______ functions primarily to filter the blood of cellular debris, to digest microorganisms, and to return the breakdown products to the liver.

spleen

The nurse is evaluating a new graduate's ability to perform a rebound tenderness test. The nurse identifies correct technique when the new graduate is observed pressing deeply at which abdominal location? RUQ LUQ RLQ LLQ

RLQ

A client complains of a burning sensation of in the esophagus after eating. Which associated condition should the nurse most suspect? gastric ulcer acid reflux pancreatic cancer acute pancreatitis

acid reflux

Which change in auscultation of bowel sounds should the nurse recognize as diagnostic of an intestinal obstruction? increase in the frequency of the gurgles an increase in the pitch a soft click every 5-15 seconds no sound heard in 1 minute

an increase in the pitch

A nurse inspects a client's abdomen and notices a large bulge is present in the RLQ. How should the nurse further assess this finding using inspection? have the client cough forcefully a few times percuss to determine if the mass is fluid filled palpate to measure the diameter of the mass ask the client to raise the head off the bed

ask the client to raise the head off the bed

A nurse suspects intra-abdominal bleeding in a client who was recently involved in a motor vehicle accident. Which finding would most likely lead the nurse to this suspicion? cullen sign diastasis recti tenderness on palpation tympany on percussion

cullen sign

The nurse is preparing to assess the size of the client's aorta. The nurse should palpate at which location? Slightly above the suprapubic area deep epigastrium to the left of midline midline at the umbilicus Between the umbilicus and the symphysis pubis

deep epigastrium to left of midline

A venous hum is normally heard over the epigastric and umbilical areas. True False

false

The abdomen is divided into six quadrants. True False

false

The psoas sign is a test for cholecystitis. True False

false

Which action by the nurse will facilitate relaxation of the abdominal muscles during examination of the abdomen? provide privacy to the client and instruct them to relax raise the client's arms or fold them behind the head flex the client's legs by placing a pillow under the knees avoid the use of a pillow behind the head during examination

flex the client's legs by placing a pillow under the knees

When performing an abdominal examination on a client, which assessment technique should the nurse perform first? inspection auscultation palpation percussion

inspection

A nurse observes tenderness over the costovertebral angle on the right side. The nurse recognizes this as an abnormal finding for which organ? gallbladder kidney liver spleen

kidney

the _____ is the largest solid organ in the body

liver

A nurse cares for a client with a distended abdomen due to peritonitis. Which parameter should the nurse measure to assess improvement? auscultate for bowel sounds perform percussion for tympany measure abdominal girth palpate the abdomen

measure abdominal girth

During the abdominal exam, the nurse supports the client's right knee and ankle, flexing the client's hip and rotating the leg internally and externally. At this point, the client reports pain in the RLQ. This test is positive for which sign? Obturator Psoas Rovsing's Murphy's

obturator

A nurse assesses a client with a distended abdomen. Which action by the nurse demonstrates the correct way to assess the client for ascites? inspect the abdominal skin for vascularity percuss the flanks from the bed upward toward the umbilicus palpate the abdomen lightly for areas of tenderness auscultate for bowel sounds in all 4 quadrants

percuss the flanks from the bed upward toward umbilicus

A nurse is attempting to palpate the abdomen of a 6-year-old female, but the girl is so ticklish that the nurse cannot proceed. Which of the following should the nurse do? adjust the bed level hold the nurse's hand under warm water just before the exam drape the client's genital area when the client is not being examined place the client's hand under the nurse's hand for a few moments

place the client's hand under the nurse's hand for a few moments

Abdominal pain can be described as visceral, parietal, or _______ pain.

referred

The nurse is assessing the gastrointestinal system of an 81-year-old client. What age-related change should the nurse consider when collecting and analyzing assessment data? The client is more vulnerable to impaired nutrition due to decreased appetite. The client will have greater bowel motility than a younger adult. The client derives less nutritional value from food because of decreased enzyme production. The client's liver will be significantly larger than a younger client.

the client is more vulnerable to impaired nutrition due to decreased appetite

The peritoneum lines the abdominal cavity. True False

true

The nurse is percussing a client's abdomen. What predominant sound should the nurse expect to hear over the majority of the abdomen? tympany dullness hyperresonance accentuated tympany

tympany

When reviewing the medications currently taken by a 50-year-old client who is complaining of constipation, teaching is indicated when the nurse notes which medication? antacid vitamin with iron nonsteroidal anti-inflammatory drug antidepressant

vitamin with iron