During the physical examination of the head and neck, the nurse palpates a lymph node after ensuring that it can move in which directions? (Select all that apply.)
A) Up and down
B) To the left
C) To the right
D) Side to side
E) Immobile
A, D
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During examination of the abdomen, the nurse identifies an area of pain to light palpation in the right lower quadrant. What is the most appropriate next action?
A) Deep palpation of the area B) Administer pain medication C) Assess for rebound tenderness D) Auscultate for vascular sounds
A patient's total laryngectomy has created a need for alaryngeal speech which will be achieved through the use of tracheoesophageal puncture. What action should the nurse describe to the patient when teaching him about this process?
A) Training on how to perform controlled belching B) Use of an electronically enhanced artificial pharynx C) Insertion of a specialized nasogastric tube D) Fitting for a voice prosthesis
Cultural stereotypes do not describe each client but provide a broad pattern of beliefs and behaviors for clients from a particular cultural group
Indicate whether the statement is true or false
A nurse is caring for a 15-year-old boy who is recovering from a grade 3 concussion. Which educational statement would be important for the nurse to present to the teen's family?
1. The client should not play sports for 1 year after the concussion. 2. If the client has another concussion in the near future, recovery time should remain the same. 3. The client can experience dizziness for more than 6 weeks after the concussion. 4. Concussions usually are associated with skull fractures.