NCM 112 Quiz#5

Which of the following indicates a positive Rovsing's sign?

• Palpating the RLQ which results in pain in LLQ

• Palpating the LLQ which results in pain in RLQ

• tenderness around the umbilicus and midepigastrium

• tenderness around the umbilicus and midhypogastrium

Selena, 20 years old, is complaining diffuse lower abdominal pain on he RLQ. An acute appendicitis is suspected. Which of the following questions MUST be asked FIRST?

• do you experience nausea and vomiting?

• how is your bowel elimination?

• when was your last menstrual period?

• have you undergone abdominal ultrasound?

Which of the following position the nurse prepares a patient who is suspected with appendicitis and tested with rebound tenderness?

• dorsal recumbent

• Sim's lateral

• mid-Fowler's

• dorsal position

Which nursing diagnosis would be appropriate for the nurse to identify for the client with diarrhea?

• Alteration in skin integrity.

• Chronic pain perception.

• Fluid volume excess.

• Ineffective coping.

The nurse is assessing a client complaining of abdominal pain. Which data would support the diagnosis of a bowel obstruction?

• Steady, aching pain in one specific area.

• Sharp back pain radiating to the flank.

• Sharp pain that increases with deep breaths.

• Intermittent colicky pain near the umbilicus.

The nurse working in a skilled nursing facility is collaborating with the dietician concerning the meals of a client who is immobile. Which foods would be most appropriate for this client?

• Oatmeal and wheat bread toast.

• Cream of mushroom and biscuits

• Cream cheese and canned peaches.

• Tuna on white bread and applesauce.

The client is admitted to the medical department with a diagnosis of R/O acute pancreatitis. Which laboratory value should the nurse monitor to confirm this diagnosis?

• Creatinine and BUN.

• Troponin and CPK-MB.

• Serum amylase and lipase.

• Serum bilirubin and calcium.

Which client problem has priority for the client diagnosed with acute pancreatitis?

• Risk for fluid volume deficit.

• Alteration in comfort.

• Imbalanced nutrition: less than body requirements.

• Knowledge deficit.

The client is diagnosed with acute pancreatitis. Which health-care provider’s admitting order should the nurse question?

• Bed rest with bathroom privileges.

• Initiate IV therapy at D5W 125 mL/hr.

• Weigh client daily.

• Low-fat, low-carbohydrate diet.

Which assessment data should the nurse expect to find for the client who had an upper gastrointestinal (UGI) series or Barium enema?

• Chalky white stools.

• Increased heart rate

• A firm hard abdomen.

• Hyperactive bowel sounds.