Physical Examination & Health Assessment

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Physical Examination & Health Assessment, 7th Edition MULTIPLE CHOICE 1. The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Whic... h sound should the nurse expect to hear? a. Dullness b. Tympany c. Resonance d. Hyperresonance ANS: A The liver is located in the right upper quadrant and would elicit a dull percussion note. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 550 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. Which structure is located in the left lower quadrant of the abdomen? a. Liver b. Duodenum c. Gallbladder d. Sigmoid colon ANS: D The sigmoid colon is located in the left lower quadrant of the abdomen. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 540 MSC: Client Needs: General 3. A patient is having difficulty swallowing medications and food. The nurse would document that this patient has: a. Aphasia. b. Dysphasia. c. Dysphagia. d. Anorexia. ANS: C Dysphagia is a condition that occurs with disorders of the throat or esophagus and results in difficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite. DIF: Cognitive Level: Applying (Application) REF: p. 542 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition? a. Percuss and palpate in the lumbar region. b. Inspect and palpate in the epigastric region. c. Auscultate and percuss in the inguinal region. d. Percuss and palpate the midline area above the suprapubic bone. [Show More]

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