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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 C

Explanation

A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.

B. Ecstasy (MDMA) is primarily used in tablet form and is not typically associated with nasal use that would cause septal perforation.

C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.

D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

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