Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis?
A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods.
A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.
B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the point of stopping inspiration, and there is no rebound or guarding.
D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound or guarding.
C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the point of stopping inspiration, and there is no rebound or guarding.
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A patient with type 2 diabetes and heart failure who is prescribed metformin extended release (Glucophage XR) once daily now has muscle aches, drowsiness, low blood pressure, and a slow irregular heartbeat. What is your best action?
a. Assess the patient's blood glucose level and prepare to administer intravenous (IV) glucose. b. Assess the patient's blood glucose level and prepare to administer insulin. c. Hold the dose and notify the prescriber immediately. d. Administer the drug at bedtime to prevent falls.
The nurse is caring for an older adult client who has been diagnosed with dementia. The nurse recognizes which of the following as true in relation to the use of touch with this client?
a. Clients with dementia can ask for touch. b. Clients with dementia can create touch for themselves. c. Clients with dementia can become more anchored in the present time, space, and humanity when touched. d. Clients with dementia can tell the nurse about the meaning of touch.
A client has been prescribed Premarin. What medication information should the nurse provide?
1. "You may notice a decrease in your libido while on this medication." 2. "If you notice pain in your abdomen that goes through to your back, be certain to notify the clinic." 3. "Do not become pregnant while on this drug." 4. "If you add the herbal black cohosh to this therapy the results will be better." 5. "This medication will help prevent cardiovascular disease."
When is the correct time to remove the tourniquet during a routine venipuncture?
a. immediately after the needle punctures the vein b. as the last tube to be drawn begins to fill c. after the last tubes has been drawn the needle has been removed from the vein d. after the vein has been located before the venipuncture actually begins