Peptic ulcer disease
Peptic ulcer disease ( 45 Questions)
A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?
Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.
Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.
This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.
Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.
Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.
Choice B reason:
Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.
Choice C reason:
This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.
Choice D reason:
Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.