NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 09: Assessing the Abdomen
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which structure of the gastrointestinal (GI) system is found in the right upper quadrant (RUQ) and is the primary site of absorption?
| 1) | Stomach |
| 2) | Duodenum |
| 3) | Sigmoid |
| 4) | Large intestine |
____ 2. The patient is complaining of left upper quadrant (LUQ) pain. Based on this data which does the nurse suspect?
| 1) | Ruptured spleen |
| 2) | Pneumonia |
| 3) | Hepatitis |
| 4) | Duodenal ulcer |
____ 3. Which is the main site for metabolizing drugs which may become impaired with the aging process?
| 1) | Stomach |
| 2) | Liver |
| 3) | Spleen |
| 4) | Large intestine |
____ 4. The nurse is assessing a patient who is admitted to the emergency department (ED) for an acetaminophen overdose. Which will the nurse monitor this patient for based on this data?
| 1) | Diarrhea |
| 2) | Constipation |
| 3) | Gastrointestinal bleeding |
| 4) | Hepatic necrosis |
____ 5. Which structure is found in the midline of the abdomen?
| 1) | Aorta |
| 2) | Femoral artery |
| 3) | Umbilical artery |
| 4) | Superior vena cava |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 9, Assessing the Abdomen
Chapter learning objective: N/A
Chapter page reference: 260
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension (Understanding)
Concept: Digestion
Difficulty: Easy
| Feedback | |
| 1 | The stomach, found in the left upper quadrant, turns the food bolus into chyme. |
| 2 | The duodenum is the primary site for digestion, especially chemical digestion. It is located in the RUQ. |
| 3 | The sigmoid colon is found in the left upper quadrant. |
| 4 | The large intestine primarily reabsorbs water. |
PTS: 1 CON: Digestion
Chapter number and title: 9, Assessing the Abdomen
Chapter learning objective: N/A
Chapter page reference: 247
Integrated Processes: Nursing Process: Evaluation
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Comprehension (Understanding)
Concept: Digestion, Comfort
Difficulty: Easy
| Feedback | |
| 1 | A ruptured spleen would manifest with pain in the LUQ. |
| 2 | Pneumonia would manifest with pain in the right upper quadrant (RUQ). |
| 3 | Hepatitis would manifest with pain in the right upper quadrant (RUQ). |
| 4 | A duodenal ulcer would manifest with pain in the right upper quadrant (RUQ). |
PTS: 1 CON: Digestion | Comfort
Chapter number and title: 9, Assessing the Abdomen
Chapter learning objective: N/A
Chapter page reference: 246
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Application (Applying)
Concept: Metabolism, Medications
Difficulty: Moderate
| Feedback | |
| 1 | The stomach turns food bolus into chyme. |
| 2 | The liver detoxifies a variety of substances such as drugs and alcohol. This function may become impaired with the aging process. |
| 3 | The spleen produces and stores red (RBCs) and white (WBCs) blood cells. |
| 4 | The large intestine reabsorbs water. |
PTS: 1 CON: Metabolism | Medications
Chapter number and title: 9, Assessing the Abdomen
Chapter learning objective: N/A
Chapter page reference: 252
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Pharmacological and Parenteral Therapies
Cognitive level: Application (Applying)
Concept: Medications, Assessment
Difficulty: Moderate
| Feedback | |
| 1 | Diarrhea is not a known adverse effect associated with an acetaminophen overdose. Diarrhea may occur with magnesium hydroxide. |
| 2 | Constipation is not a known adverse effect associated with an acetaminophen overdose. Constipation may occur with aluminum hydroxide. |
| 3 | Gastrointestinal bleeding is not a known adverse effect associated with an acetaminophen overdose. Gastrointestinal bleeding may occur with aspirin. |
| 4 | Hepatic necrosis is a known adverse reaction that can occur from toxic levels of acetaminophen. |
PTS: 1 CON: Medications | Assessment
Chapter number and title: 9, Assessing the Abdomen
Chapter learning objective: N/A
Chapter page reference: 261
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension (Understanding)
Concept: Assessment
Difficulty: Easy
| Feedback | |
| 1 | The aorta is a structure that is found in the midline of the abdomen. |
| 2 | The femoral artery is not a structure that is found in the midline of the abdomen. |
| 3 | The umbilical artery is not a structure that is found in the midline of the abdomen. |
| 4 | The superior vena cava is not a structure that is found in the midline of the abdomen. |
PTS: 1 CON: Assessment
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