The nurse is performing an abdominal assessment on a child. When percussing over the stomach, the nurse should hear which sound?
a. Tympany
b. Resonance
c. Flatness
d. Dullness
A
Tympany is a high-pitched, loud-intensity sound heard over air-filled body parts such as the stomach and bowel. Resonance is a low-pitched, low-intensity sound elicited over hollow organs such as the lungs. Flatness is a high-pitched, soft-intensity sound elicited by percussing over solid masses such as bone or muscle. Dullness is a medium-pitched, medium-intensity sound elicited when percussing over high-density structures such as the liver.
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The nurse has closed the interview with the client and observes that the client appears to have something else to say. What statement made by the nurse can provide an opportunity for the client to express concerns and ask questions?
A) "Use your call bell if you need anything." B) "I don't know what else I could tell you, this about covers all of it." C) "Well that is all I have for you. Let me know if you need anything." D) "Do you have any questions or concerns that we have not discussed?"
This statement was included in a research report:
"A positive correlation was found between the variables of self-reported sleep adequacy and performance on the driving simulator (r = 0.21), although the correlation did not reach statistical significance." A research consumer should evaluate this to mean what? a. No relationship exists between the two variables. b. The hypothesis was supported by the data presented. c. The hypothesis was not supported by the data presented. d. The relationship between the variables is too weak to have practical application.
A nurse manager was concerned about the employees of her unit when the hospital for which she was working merged with another health care system
She explained to her staff what was not going to change, what changes would take place, and the importance of the changes. The nurse manager was participating in what phase of this new integration of health care systems? a. Assessment phase b. Planning and design phase c. Implementation phase d. Development phase
The wife of a client newly diagnosed with paranoid schizophrenia asks the nurse, "My husband was well adjusted until a month ago, and then, after a lot of work stress, he got sick. What can I expect?
Will he be this sick for the rest of his life?" What information can the nurse provide about prog-nosis? 1. "This disorder responds well to treatment and, with follow-up, may not recur." 2. "All types of schizophrenia are chronic relapsing disorders." 3. "Outcomes are poor related to client prehospital disorganization." 4. "The usual outcome is that only partial remission is achieved."