The nurse is preparing to perform an abdominal assessment on a client with a complaint of right upper quadrant tenderness. In what sequence should palpation be performed?
A. Lower quadrants only
B. Right upper quadrant first
C. Right upper quadrant last
D. Lower quadrants and left upper quadrant only
C
The sequence of palpation should be to palpate any tender or painful areas last to prevent the client from tensing abdominal muscles because of pain, thereby making the examination more difficult.
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A young adult arrives in the after-hours clinic with euphoria, dilated pupils, an elevated heart rate, and fine tremors of the hands. The patient admits to recent use of an illegal street drug. As the nurse collecting this data, you suspect:
A) LSD B) "Crack" cocaine C) Amphetamines D) Downers
A comparison of the nursing and medical models of care shows that:
a. nurses assess disease states and causes. b. physicians assess risk factors and vulnerability. c. nursing intervention focuses on curative treatments. d. nursing diagnoses focus on the effectiveness of coping responses.
It is true that viral meningitis:
a. is always sudden in onset. b. often occurs with measles, mumps, or herpes. c. is effectively treated with antibiotics. d. causes increased sugar in the cerebral spi-nal fluid (CSF).
The nurse is reinforcing instructions provided to a patient to prevent the development of varicose veins. Which patient statement indicates that teaching has been effective?
a. "Sit with legs crossed." b. "Wear support stockings." c. "Stand for long periods of time." d. "Sleep with the head of the bed elevated."