A 16-year-old girl presents at the emergency department complaining of right lower quadrant pain and is diagnosed with appendicitis. When assessing this patient, what signs or symptoms should the nurse expect to find?
A) Rigid abdomen, Levine's sign, pain relief leaning forward
B) Rebound tenderness, McBurney's sign, low-grade fever
C) Right lower quadrant pain, Chvostek's sign, muscle guarding
D) Periumbilical pain, Trousseau's sign, pain relief with pressure
B
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The nurse is assisting the physician in removing a small sample of tissue from the patient's cervix to have it evaluated. This procedure is called a cervical _______________
ANS:
A 74-year-old woman who is in hospital for rehabilitation following hip replacement has been experiencing incontinence since admission
Which of the following interventions are likely to facilitate the restoration of the patient's bladder function? (Select all that apply.) A) Determine and assess the woman's recent voiding pattern. B) Request an order for an indwelling catheter from the patient's physician. C) Teach the patient how to meet hydration needs while still limiting fluid intake. D) Offer to assist to the commode every 2 hours while awake. E) Assess the client for contributing factors such as constipation.
Mr. C., aged 82 years, has always lived independently in the house that he and his late wife purchased over 50 years ago
Mr. C. has experienced few health problems, and for that reason his recent falls in the home comes as a surprise to himself and his children. What should the nurse who is providing primary care for Mr. C. first do in this situation? A) Arrange a family meeting to organize supervision for Mr. C. during high-risk times. B) Perform a comprehensive musculoskeletal assessment of Mr. C. C) Investigate what community resources might be appropriate and available to Mr. C. D) Elicit from Mr. C. what he perceives to be the causes of and potential solutions to his falls.
A nurse working on the antepartum unit cares for clients with preeclampsia. When teaching family members about the cause of the condition, which does the nurse include?
A) It is a disorder of placental dysfunction. B) It is a disorder of fetal liver compromise. C) It is a disorder of maternal hyporesponsiveness to vasoactive peptides. D) It is a disorder of excess trophoblast invasion within the placenta.