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The client is brought into the emergency room (ER) by paramedics with blunt trauma to the left upper side of the abdomen due to a motor vehicle accident. The ER nurse knows what organ is most likely impacted.

A.

appendix

B.

left ureter

C.

left lobe of liver

D.

sigmoid colon

Answer and Explanation

The Correct Answer is C

A. Appendix: Located in the right lower quadrant, the appendix is unlikely to be impacted in left upper quadrant trauma.

 

B. Left ureter: The left ureter is located lower in the abdomen along the flank area and is not directly impacted in the left upper quadrant.

 

C. Left lobe of liver: The liver’s left lobe extends into the left upper quadrant, making it a likely organ to be impacted in blunt trauma to this area, particularly given its large size and location near the abdominal wall.

 

D. Sigmoid colon: Positioned lower in the left lower quadrant, the sigmoid colon is less likely to be affected by left upper abdominal trauma.


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View Related questions

Correct Answer is C

Explanation

A. The client is terminally ill: DPOA is not automatically activated by terminal illness but by the client’s inability to communicate.

B. The client is incapable of providing self-care: This alone does not activate the DPOA unless they are also unable to make healthcare decisions.

C. The client is unable to express their wishes: Durable power of attorney for healthcare decisions is activated when the client becomes unable to make or communicate their healthcare choices.

D. The client has refused treatment: Refusal of treatment is a decision that an alert and capable client can make independently.

Correct Answer is D

Explanation

A. Flat: A flat abdomen is level with no visible protrusions or concavities.

B. Protuberant: A protuberant abdomen appears swollen or distended, common in obesity or ascites.

C. Rounded: A rounded abdomen has a convex contour, commonly seen in children or adults with mild weight gain.

D. Scaphoid: A scaphoid abdomen appears sunken or concave, often showing visible lower ribs, suggesting malnutrition or dehydration.

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