Mr. Maxwell has noticed that he is gaining weight and has increasing girth. Which of the following would argue for the presence of ascites?
A) Bilateral flank tympany
B) Dullness which remains despite change in position
C) Dullness centrally when the patient is supine
D) Tympany which changes location with patient position
D) Tympany which changes location with patient position
A diagnosis of ascites is supported by findings that are consistent with movement of fluid and gas with changes in position. Gas-filled loops of bowel tend to float so that dullness when supine would argue against this. Likewise, because fluid gathers in dependent areas, the flanks should ordinarily be dull with ascites. Tympany which changes location with patient position (“shifting dullness”) would support the presence of ascites. A fluid wave and edema would support this diagnosis as well.
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Which is the most appropriate method a nurse can use to advocate for clients when ethical decisions are made inappropriately?
1. The nurse discusses concerns with the nurse manager, who then calls together a meeting of the ethics committee. 2. The nurse confronts the care provider to discuss the specifics of the issue and then discusses with the team. 3. The nurse discusses concerns with the nurse manager, citing institutional policy and client rights documents. 4. The nurse discusses concerns with the client and/or family to get them to confront the care providing team.
As part of the promotion of a therapeutic milieu, a psychiatric–mental health unit has recently initiated an art therapy program. What is the primary goal of such adjunctive therapy programs?
A) To help clients demonstrate their potential to produce objects of value B) To provide clients with a venue that is simultaneously productive and relaxing C) To encourage clients to express feelings or conflicts that they are unable to express verbally D) To provide a therapeutic distraction so that clients smoke less often and watch less television
By what age does birth length usually double?
a. 1 year b. 2 years c. 4 years d. 6 years
To apply ointments correctly, apply them with a wooden ________ or a cotton-tipped applicator.
Fill in the blank(s) with the appropriate word(s).