Question 1

The pediatric nurse is preparing an educational presentation for parents of school-aged children regarding hepatitis. Based on the pediatric risk, which type of hepatitis virus will the nurse focus on during the educational session?

Accepted Answer

Hepatitis A virus is the most common type of hepatitis among school-aged children in developed countries. This is because Hepatitis A is transmitted through contaminated food or water, which is more likely to occur in settings where sanitation is poor. Hepatitis B is typically transmitted through contact with infected blood or bodily fluids, which is less common among school-aged children. Hepatitis C and D are also primarily blood-borne, making them less relevant for this particular population.

Question 2

The nurse is preparing an educational presentation regarding the Healthy People 2020 objectives. Which topics are appropriate and related to the objectives?

Accepted Answer

The answer of The nurse is preparing an educational presentation...

Question 3

The nurse is performing an abdominal assessment on an infant. The nurse notes that the umbilicus is bulging and has been displaced slightly to the left of midline. Based on this data, which diagnosis does the nurse anticipate?

Accepted Answer

A bulging umbilicus that is displaced to one side is a classic sign of an umbilical hernia, which is a protrusion of abdominal contents through a weak spot in the abdominal muscles near the navel. Infection would not typically cause a bulging umbilicus, and ventral hernias would be located elsewhere on the abdomen. A hiatal hernia involves the stomach protruding through the diaphragm and would not be related to the umbilicus.

Question 4

The nurse is caring for a client diagnosed with the hepatitis A virus. The client requests information about how the virus is transmitted. Which statement by the nurse is appropriate?

Accepted Answer

Hepatitis A virus is most commonly spread through contaminated food and water. It can also be spread through close contact with someone who has the virus, such as household members, sexual partners, or daycare/camp attendees. It is not spread through blood transfusions or IV drug use.

Question 5

The nurse is performing an abdominal assessment on the client. Rank the assessment steps in the order in which they should occur. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list.
A) Percuss the abdomen.
B) Visualize the quadrants of the abdomen.
C) Palpate the abdomen.
D) Auscultate the abdomen.
E) Encourage the client to void.

Accepted Answer

The answer of The nurse is performing an abdominal assessment...

Question 6

An adolescent client is seen for abdominal pain in the local clinic. The client states, "The pain is sort of all over my belly. I can't really find one place that hurts more than another area." Based on the nurse's understanding about disorders of abdomen and associated symptomatology, which nursing diagnoses are appropriate for this client?

Accepted Answer

The answer of An adolescent client is seen for abdominal...

Question 7

The nurse is auscultating the abdomen of a client for vascular sounds with the bell of the stethoscope. The nurse hears a soft, continuous humming sound. Based on this data, the nurse suspects dysfunction with which organ?

Accepted Answer

The soft, continuous humming sound heard when auscultating the abdomen with the bell of the stethoscope is indicative of a bruit, which is an abnormal sound caused by turbulent blood flow through a narrowed or dilated vessel. This suggests dysfunction with the liver, as it may be caused by hepatic artery occlusion or stenosis.

Question 8

The nurse is performing an abdominal assessment on a client who had been previously diagnosed with cirrhosis. As the nurse inspected the client's abdomen and notes ascites. Based on this data, which interventions will the nurse perform next?

Accepted Answer

Measuring the client's abdominal girth and percussing the abdomen at midline are both appropriate interventions for assessing ascites.

Question 9

The nurse is interviewing an older adult Hispanic client who complains of recent weight loss, anorexia, and epigastric pain. The client reports recent use of "mints" for stomach upset. Based on this assessment data, which interventions are appropriate for this client?

Accepted Answer

The symptoms described by the client, such as weight loss, anorexia, and epigastric pain, along with the use of "mints" (which could be antacids) for stomach upset, suggest a possible peptic ulcer. An endoscopy (A) would help in diagnosing the condition by visualizing the esophagus, stomach, and duodenum. Educating the client about the proper use of antacids (B) is appropriate as they can help neutralize stomach acid and provide relief. Informing the client about Helicobacter pylori (C), a bacterium that can cause peptic ulcers, is also important for understanding potential causes and treatments.

Quiz 21: Abdomen