When making observations, you must use all of your ____________________.
Fill in the blank(s) with the appropriate word(s).
senses
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The LPN/LVN is preparing to perform a focused assessment by body system. Appropriate actions include:(Select all that apply) Standard Text: Select all that apply
1. Explaining the procedure 2. Instructing clients to retain urine for the procedure 3. Organizing the assessment so that several body areas can be assessed in one position 4. Providing for privacy 5. Preparing equipment
A patient admitted with acute diverticulitis has experienced a sudden increase in temperature and complains of a sudden onset of exquisite abdominal tenderness
The nurse's rapid assessment reveals that the patient's abdomen is uncharacteristically rigid on palpation. What is the nurse's best response? A) Administer a Fleet enema as ordered and remain with the patient. B) Contact the primary care provider promptly and report these signs of perforation. C) Position the patient supine and insert an NG tube. D) Page the primary care provider and report that the patient may be obstructed.
The nurse is assessing a patient injured in a fall from a tree. During the assessment the patient suddenly loses consciousness. Which interventions should the nurse use to protect this patient's airway?
1. Hyperextend the neck. 2. Suction the patient. 3. Stabilize the neck. 4. Remove the tape the paramedics used to tape the patient's head to the backboard. 5. Pull up on the patient's lower jaw.
A pregnant client is scheduled for a transabdominal cerclage. What teaching information should the nurse prepare for this client? Select all that apply
1. Cesarean section birth 2. Preoperative laparotomy 3. Potential for hydramnios 4. Risk for abruptio placentae 5. Premature rupture of membranes