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A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

A.

Right Upper Quadrant

B.

Right Lower Quadrant

C.

Left Upper Quadrant

D.

Left Lower Quadrant

Answer and Explanation

The Correct Answer is C

A. The right upper quadrant is typically associated with gallbladder or liver issues, not duodenal ulcers.  

 

B. The right lower quadrant is primarily associated with appendicitis or other conditions involving the appendix.  

 

C. The left upper quadrant is where the duodenum is located, making it the appropriate area to assess for pain related to a duodenal ulcer.  

 

D. The left lower quadrant is often associated with conditions affecting the sigmoid colon or left ovary but not typically with duodenal ulcers.


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Correct Answer is A

Explanation

A. Respiratory acidosis: The pH is low (indicating acidosis), and the Paco₂ is elevated, which signifies that carbon dioxide retention is causing the acidosis. This pattern indicates respiratory acidosis, as the elevated HCO₃ suggests a compensatory response.

B. Respiratory alkalosis: Respiratory alkalosis would show a high pH with a low Paco₂. This is not consistent with the client’s lab results.

C. Metabolic acidosis: Metabolic acidosis would show a low pH with a low HCO₃. In this case, the HCO₃ is slightly elevated, ruling out metabolic acidosis.

D. Metabolic alkalosis: Metabolic alkalosis would show a high pH with an elevated HCO₃, which does not match the client’s results.

Correct Answer is D

Explanation

A. Linea nigra is not typically found in older adults.

B. Infants and children do not generally exhibit linea nigra.

C. Adolescents do not commonly have linea nigra.

D. Linea nigra is a dark line that appears on the abdomen of pregnant women due to hormonal changes and increased pigmentation.

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