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While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

A.

Rounded

B.

Scaphoid

C.

Flat

D.

Protuberant

Answer and Explanation

The Correct Answer is D

A. Rounded describes a normal abdomen but does not convey the greater extent of fullness seen in this case.  

 

B. Scaphoid describes a concave abdomen, which does not apply to this situation.  

 

C. Flat indicates no significant contour changes, which does not apply here.  

 

D. Protuberant is the correct term, as it describes an abdomen that is significantly distended and is characteristic of conditions like pregnancy, ascites, or obesity.


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Correct Answer is D

Explanation

A. The iliac pulse is located near the pelvis and is not used for assessing circulation in the lower extremities.


B. The femoral pulse is located in the upper thigh, not near the posterior tibial area.


C. The popliteal pulse is found at the back of the knee and is higher than the posterior tibial location.


D. The posterior tibial pulse is correctly located behind the medial malleolus on the inner side of the ankle. This location is where the posterior tibial artery is accessible and is commonly used to assess blood flow to the lower extremities.

Correct Answer is ["A","B","C","D"]

Explanation

A. Cold intolerance: Patients with hypothyroidism often have difficulty regulating body temperature, leading to a heightened sensitivity to cold.

B. Depression: Hypothyroidism can affect mood and cognitive function, often leading to symptoms of depression.

C. Weakness and fatigue: Low thyroid hormone levels can cause significant fatigue and muscle weakness due to a slower metabolism.

D. Constipation: A slowed metabolism can also affect gastrointestinal motility, resulting in constipation.

E. Mental alertness: This is typically not expected in hypothyroid patients. In fact, they may experience cognitive impairments, memory issues, or slowed thinking rather than mental alertness.

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