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    Ati bsn 0926 med surg proctored exam

    In reviewing the medical record for a patient admitted with acute pancreatitis, the nurse sees that the patient has a positive Cullen's sign. Indicate the area in the accompanying figure where the nurse will assess for this change.

    Explanation & Rationale

    Rationale: A. Epigastrium refers to the upper central region of the abdomen, just below the sternum; Cullen’s sign does not appear here. B. Umbilical region (around the navel) is where Cullen’s sign appears as a bluish discoloration due to subcutaneous fat necrosis or retroperitoneal bleeding associated with acute pancreatitis. This is the correct site. C. Flank discoloration is known as Grey Turner’s sign, another indicator of retroperitoneal bleeding, but distinct from Cullen’s sign. D. Subumbilical refers to the area below the umbilicus, not the typical site for Cullen’s sign.

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