Chapter 16- The Gastrointestinal and Renal System
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Transcript of 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
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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 &
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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 *
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Answer Key
1.!&.A
*.A, !, $
0.$5.D
6.A
9.A, !, $=.A
>.A, !, $, D
1;.A
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