While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and umbilicus. The nurse would suspect that these are:
a. Pulsations of the renal arteries.
b. Pulsations of the inferior vena cava. c.
Normal abdominal aortic pulsations.
d. Increased peristalsis from a bowel obstruction.
ANS: C
Normally, the pulsations from the aorta are observed beneath the skin in the epigastric area, particularly in thin persons who have good muscle wall relaxation.
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When attempting to get the blood pressure of a 3 year old, it is important to:
1. Encourage questions. 2. Let the child touch, smell, and see the equipment prior to taking the blood pressure. 3. Place the cuff on a teddy bear so the child can see what is going to occur. 4. All are appropriate actions when taking the blood pressure of a 3 year old. 5. 1 and 2 are appropriate actions for attempting to take the blood pressure of a 3 year old.
The nurse obtains a male client's triceps skin fold (TSF) thickness, finding it to be 12.3 mm. The nurse interprets this as which of the following?
A) Severe malnutrition B) Moderate malnutrition C) Mild malnutrition D) Within the standard reference
Modern pharmacology was introduced to the United States by the opening of the first department of pharmacology at the University of Michigan in which year?
1. 1805 2. 1890 3. 1847 4. 1908
A 63-year-old patient with bilateral pneumonia was admitted to the intensive care unit. The nurse who initially prepared her plan of care identified that she had the collaborative problem of Potential complications: hypoxemia
This is considered a collaborative problem because it requires: A. monitoring for signs of acid-base imbalance. B. ensuring adequate hydration. C. evaluating the effects of positioning on oxygenation. D. both nursing and physician-prescribed interventions.