A client's bladder is found to be distended. At which location would the nurse begin palpating?
At the symphysis pubis.
In the left lower quadrant.
At the umbilicus.
In the right lower quadrant.
The Correct Answer is A
A. At the symphysis pubis: When the bladder is distended, it typically extends upward from the symphysis pubis. Therefore, the nurse should start palpation here to assess for bladder distention.
B. In the left lower quadrant: This location would be used to assess for structures like the descending colon or potential masses, not the bladder.
C. At the umbilicus: The bladder does not typically reach the umbilical region unless it is severely distended, making this less effective as a starting point.
D. In the right lower quadrant: This area is primarily used to assess structures such as the appendix or ascending colon, not the bladder.
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Correct Answer is D
Explanation
A. A client who has pneumonia: Pneumonia typically requires droplet precautions, not airborne.
B. A client who has shigella: Shigella is transmitted through the fecal-oral route, so contact precautions would be appropriate.
C. A client who has strep throat: Streptococcal infections are spread by droplets, so droplet precautions are indicated, not airborne.
D. A client who has tuberculosis: Tuberculosis (TB) is spread via airborne droplets, so airborne precautions are necessary to prevent transmission.
Correct Answer is D
Explanation
A. Abdominal x-ray: While it can show gas or bowel obstructions, it is less effective for confirming fluid presence.
B. Shifting dullness: This physical exam technique can indicate fluid but is less accurate than ultrasound.
C. Fluid wave: This physical exam can help suggest the presence of fluid, but it is also less reliable than imaging studies.
D. Ultrasound: An ultrasound is the most accurate and non-invasive way to confirm the presence of fluid, such as ascites, in the abdomen. It provides detailed imaging and confirmation without invasive procedures.