Which of the following findings alerts the nurse to the presence of hepatomegaly?
A. Dependent edema in the extremities and sacrum
B. Distended abdomen with bulging flanks
C. Shifting dullness with absent fluid wave
D. Dullness percussed over the liver
D
Hepatomegaly is assessed by palpation and percussion. In hepatomegaly, dullness is felt over the area of the liver.
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Parents of an infant with slow weight gain ask the nurse if they can feed their baby a highly concentrated formula. An appropriate response given by the nurse would be:
1. "A higher-concentrated formula could lead to dehydration because of high sodium content; let's discuss other strategies." 2. "An undiluted formula concentrate could be given to help the child gain weight; let's look at brands." 3. "Evaporated milk could be given to the infant instead of the current formula you're using." 4. "A higher-concentrated formula could be given for daytime feedings; let's work on a schedule."
A 56-year-old patient has come to the clinic for his routine eye examination and is told he needs bifocals. The patient asks the nurse what in his eye has changed so that he needs bifocals. What should the nurse respond?
A) "You know, you are getting older now, and we change as we get older." B) "The parts of our eyes age, just like the rest of us." C) "There is a gradual thickening of the lens of the eye, and it can limit accommodation of the eye." D) "The eye gets shorter, back to front, as we age, and it changes how we see things."
Which question should the nurse ask when assessing the sociocultural aspects of a patient's family?
A) Citizenship B) Occupation C) Education level D) Family structure
A pregnant adolescent asks you if she should take a prepared childbirth course. Which of the following would be your best response?
A) "Adolescents generally do not do well in such courses." B) "Adolescent labor is so different that the course material will not apply." C) "Because cesarean birth is likely, the material would probably not be used." D) "Women of any age are well advised to begin labor prepared for the event."