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Liver span is measured to examine the liver's


A) shrinkage.
B) relocation.
C) enlargement.
D) capacity.

E) B) and D)
F) B) and C)

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A female patient reports an increase of involuntary loss of urine with sneezing and coughing.Her past medical history reveals uterine cancer,an abdominal hysterectomy,and radiation therapy.What type of incontinence is she most likely experiencing?


A) stress incontinence
B) urge incontinence
C) overflow incontinence
D) functional incontinence

E) C) and D)
F) B) and C)

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You should be particularly careful when performing deep palpation of the abdomen in patients with suspected


A) cancer of the bowel to prevent metastasis.
B) ascites to prevent fluid shifting and electrolyte loss.
C) enlarged spleen to prevent rupture.
D) fecal impaction or severe diarrhea to prevent pain.

E) A) and B)
F) All of the above

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Palpation of the abdominal aorta reveals an aorta width of 5 cm and lateral pulsation.This finding suggests a(n)


A) normal finding.
B) ruptured aorta.
C) abdominal aortic aneurysm.
D) coarctation of the aorta.

E) A) and C)
F) All of the above

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A patient reports having vomitus that looks like coffee grounds.You realize this is a description of what?


A) fresh gastrointestinal blood
B) blood that has had time to mix with digestive juices
C) bile
D) fecal matter

E) A) and D)
F) All of the above

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In which abdominal quadrant is most of the liver located?


A) right upper quadrant
B) right lower quadrant
C) left upper quadrant
D) left lower quadrant

E) B) and D)
F) C) and D)

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Parietal pain,which originates in the parietal peritoneum,is described as


A) severe from the onset and precisely localized.
B) dull initially and poorly localized.
C) having a gradual onset and poorly localized.
D) cramping throughout the abdominal area.

E) A) and B)
F) A) and D)

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The spleen,gallbladder,stomach,liver,bile duct,small intestine,and large intestine are considered the ____________________ organs.

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intraperitoneal
Explanation:The organs c...

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A 44-year-old patient is concerned about colorectal cancer because of a change in bowel habits.Which of the following is a risk factor for colorectal cancer?


A) vegetarian diet
B) alcohol intake of one beer every night
C) body mass index of 32
D) marathon runner

E) All of the above
F) B) and C)

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When performing an abdominal examination, you should


A) visualize the underlying abdominal structures.
B) avoid looking at the patient's face to minimize apprehension.
C) first examine areas of tenderness identified by the patient.
D) proceed quickly without superfluous conversation.

E) A) and B)
F) A) and C)

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A nursing instructor quizzes the students on the anatomical structures located in the abdomen.One question was to identify the structures in the right lower quadrants of the abdomen.Which responses by the students would indicate that further study is needed? Select all that apply.


A) Cecum
B) Spleen
C) Appendix
D) Duodenum
E) Stomach
F) Sigmoid colon

G) A) and E)
H) A) and F)

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Which of the following is cause for concern when palpating the inguinal lymph nodes?


A) small, movable nodes
B) a 0.75 cm palpable node
C) nonmovable nodes
D) nontender nodes

E) B) and D)
F) C) and D)

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In which abdominal quadrant is the spleen located?


A) right upper quadrant
B) right lower quadrant
C) left upper quadrant
D) left lower quadrant

E) All of the above
F) A) and B)

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A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours.To examine the patient's abdominal pain,you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended.After you release the pressure,the patient complains of pain at the pressure site,indicating


A) referred rebound tenderness.
B) localized pain.
C) direct rebound tenderness.
D) positive Cullen's sign.

E) B) and D)
F) A) and D)

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Muscle guarding,or tensing of the rectus muscles,during expiration indicates


A) the patient may be anxious.
B) bulging of the aorta.
C) possible pyelonephritis.
D) possible peritonitis.

E) A) and C)
F) B) and D)

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Splenic enlargement is indicated when the area of dullness on percussion is over


A) 3 cm.
B) 5 cm.
C) 6 cm.
D) 8 cm.

E) A) and C)
F) All of the above

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A client is diagnosed with hepatitis A and asks the nurse how to avoid infecting other family members.The nurse's response would be based on the understanding that the spread of hepatitis A is primarily


A) from person to person through fecal contamination or contaminated food and water.
B) sexual contact with an infected person who does not show symptoms of the disease.
C) by contaminated needles from a person who has some form of hepatitis.
D) through blood transfusions of improperly prepared blood.

E) A) and C)
F) C) and D)

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Normal bowel sounds are heard as


A) continuous, low-pitched rumbling sounds.
B) intermittent, high-pitched tinkling sounds occurring every 10-25 seconds.
C) intermittent, high-pitched gurgling sounds occurring 5-30 times per minute.
D) intermittent, loud gurgling sounds.

E) B) and C)
F) C) and D)

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A scaphoid abdomen is characterized as a(n)


A) convex symmetrical profile, with maximum height of the abdomen at the umbilicus.
B) convex contour with taut stretching of skin over the abdominal wall.
C) concave symmetrical profile possibly due to flaccid muscles.
D) asymmetrical profile, possibly indicating the presence of a tumor or a bowel obstruction.

E) C) and D)
F) B) and C)

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You note marked,strong abdominal pulsations in the epigastric area when inspecting a patient's abdomen.These most likely indicate


A) normal peristaltic waves.
B) abnormal peristaltic waves.
C) distended abdomen.
D) aortic aneurysm.

E) C) and D)
F) B) and D)

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