Chapter 16- The Gastrointestinal and Renal System

4
8/20/2019 Chapter 16- The Gastrointestinal and Renal System http://slidepdf.com/reader/full/chapter-16-the-gastrointestinal-and-renal-system 1/4 1.During a physical assessment of the abdomen, the nurse palpates a small mass above a  patient's symphysis pubis. What should the nurse do at this time? A) Gently press don on the mass. !) "top the e#amination. $) Auscultate the mass. D) %ercuss the mass. &.he nurse is preparing to conduct a physical e#amination of a patient's abdomen. (dentify the area on the diagram here the nurse ill focus the assessment of the patient's gallbladder. A) ocation A !) ocation ! $) ocation $ D) ocation D *.During the physical e#amination of the abdomen, the nurse palpates a mass in the  patient's right loer +uadrant. he nurse suspects that this mass could be associated ith hich organs? "elect all that apply.) A) Appendi# !) !ladder $) Ascending colon D) -ight idney /) ransverse colon 0.During the health history of the urinary system, a patient tells the nurse about leaing2 urine hen coughing or laughing. he nurse should focus additional +uestions to address hich health problem? A) 3rge incontinence !) 4verflo incontinence $) "tress incontinence D) 4bstructive incontinence %age 1

Transcript of Chapter 16- The Gastrointestinal and Renal System

Page 1: Chapter 16- The Gastrointestinal and Renal System

8/20/2019 Chapter 16- The Gastrointestinal and Renal System

http://slidepdf.com/reader/full/chapter-16-the-gastrointestinal-and-renal-system 1/4

1.During a physical assessment of the abdomen, the nurse palpates a small mass above a

 patient's symphysis pubis. What should the nurse do at this time?

A) Gently press don on the mass.!) "top the e#amination.

$) Auscultate the mass.

D) %ercuss the mass.

&.he nurse is preparing to conduct a physical e#amination of a patient's abdomen. (dentifythe area on the diagram here the nurse ill focus the assessment of the patient's

gallbladder.

A) ocation A

!) ocation !

$) ocation $D) ocation D

*.During the physical e#amination of the abdomen, the nurse palpates a mass in the

 patient's right loer +uadrant. he nurse suspects that this mass could be associated ithhich organs? "elect all that apply.)

A) Appendi#

!) !ladder  $) Ascending colon

D) -ight idney

/) ransverse colon

0.During the health history of the urinary system, a patient tells the nurse about leaing2

urine hen coughing or laughing. he nurse should focus additional +uestions to addresshich health problem?

A) 3rge incontinence

!) 4verflo incontinence$) "tress incontinence

D) 4bstructive incontinence

%age 1

Page 2: Chapter 16- The Gastrointestinal and Renal System

8/20/2019 Chapter 16- The Gastrointestinal and Renal System

http://slidepdf.com/reader/full/chapter-16-the-gastrointestinal-and-renal-system 2/4

5.he nurse has completed the inspection of a patient's abdomen during the physicale#amination. Which techni+ue ill the nurse use ne#t during this e#amination?

A) Deep palpation

!) ight palpation$) %ercussion

D) Auscultation

6.While conducting an abdominal physical assessment, the patient complains of pain ith

deep palpation of the right idney. o further assess this finding, the nurse should

 perform7A) 8ist percussion of the costovertebral angles

!) Deep palpation of the abdominal left upper +uadrant

$) ight palpation of the abdominal right loer +uadrant

D) Auscultate sounds in the abdominal left loer +uadrant

9.After a health history of the gastrointestinal and urinary systems, the nurse determines

that a patient is of average ris for colorectal cancer. What should the nurse instruct the

 patient regarding this ris? "elect all that apply.)

A) :ave a fecal occult blood test done annually.!) "chedule a fle#ible sigmoidoscopy every 5 years.

$) 8ollo an every 1;<year colonoscopy schedule.

D) %lan time for a colonoscopy every * years./) Determine hen to have a barium enema every & years.

=.An older patient ass the nurse hat can be done to help ith urinary incontinence. What

can the nurse respond to this patient?

A) %ractice pelvic muscle e#ercises.!) -educe fluids a fe hours before sleep.

$) Avoid caffeinated beverages.

D) imit alcohol intae to * drins per day.

>.During the e#amination of the abdomen, a patient e#periences right loer +uadrant

rebound tenderness. he nurse should do hich additional assessment techni+ues for this patient? "elect all that apply.)

A) Assess the -ovsing sign.

!) Assess the psoas sign.$) est for cutaneous hyperesthesia.

D) oo for the obturator sign.

/) est for a fluid ave.

%age &

Page 3: Chapter 16- The Gastrointestinal and Renal System

8/20/2019 Chapter 16- The Gastrointestinal and Renal System

http://slidepdf.com/reader/full/chapter-16-the-gastrointestinal-and-renal-system 3/4

1;.he nurse auscultates &; clics and gurgles over 1 minute hen e#amining a patient's

abdomen. :o should the nurse document this finding?A) !oel sounds normal

!) !oel sounds hyperactive

$) !oel sounds hypoactiveD) !oel sounds inconsistent

%age *

Page 4: Chapter 16- The Gastrointestinal and Renal System

8/20/2019 Chapter 16- The Gastrointestinal and Renal System

http://slidepdf.com/reader/full/chapter-16-the-gastrointestinal-and-renal-system 4/4

Answer Key

1.!&.A

*.A, !, $

0.$5.D

6.A

9.A, !, $=.A

>.A, !, $, D

1;.A

%age 0