Free NCLEX-RN Exam Braindumps (page: 77)

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An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indicative of a fecal impaction?

  1. Boardlike, rigid abdomen
  2. Loss of the urge to defecate
  3. Liquid stool
  4. Abdominal pain

Answer(s): C

Explanation:

(A) A boardlike, rigid abdomen would point to a perforated bowel, not a fecal impaction. (B) When a client is fecally impacted, a common symptom is the urge to defecate but the inability to do so. (C) When an impaction is present, only liquid stool will be able to pass around the impacted site. (D) Abdominal pain without distention is not a sign of a fecal impaction.



An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indicative of a fecal impaction?

  1. Boardlike, rigid abdomen
  2. Loss of the urge to defecate
  3. Liquid stool
  4. Abdominal pain

Answer(s): C

Explanation:

(A) A boardlike, rigid abdomen would point to a perforated bowel, not a fecal impaction. (B) When a client is fecally impacted, a common symptom is the urge to defecate but the inability to do so. (C) When an impaction is present, only liquid stool will be able to pass around the impacted site. (D) Abdominal pain without distention is not a sign of a fecal impaction.



After a liver biopsy, the best position for the client is:

  1. High Fowler
  2. Prone
  3. Supine
  4. Right lateral

Answer(s): D

Explanation:

(A) This position does not help to prevent bleeding. (B) This position does not help to prevent bleeding. (C) This position does not help to prevent bleeding. (D) The right lateral position would allow pressure on the liver to prevent bleeding.



After a liver biopsy, the best position for the client is:

  1. High Fowler
  2. Prone
  3. Supine
  4. Right lateral

Answer(s): D

Explanation:

(A) This position does not help to prevent bleeding. (B) This position does not help to prevent bleeding. (C) This position does not help to prevent bleeding. (D) The right lateral position would allow pressure on the liver to prevent bleeding.



Page 77 of 431



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