During assessment of a patient who is new to the critical unit, the nurse observes perianal ecchymosis. The nurse suspects the patient has a
a. pelvic fracture.
b. bladder trauma.
c. rectal laceration.
d. spleen laceration.
A
Signs of pelvic fracture include perianal ecchymosis (scrotum or vulva) indicating extravasation of urine or blood, pain on palpation or "rocking" of the iliac crests, lower limb paresis or hypesthesia, and hematuria. A large percentage of bladder injuries result from pelvic fractures. Physical findings may include lower abdominal bruising, distention, and pain. More definitive findings include difficulty in voiding or incomplete recovery of irrigation fluids from catheterized patients.
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The LPN/LVN role differs from the RN role in all of the following areas except:
a. Educational preparation. b. Thinking skills. c. Assessment skills. d. Basic psychomotor skills.
The nurse is caring for a postpartal client who is of Hmong descent and immigrated to the United States five years ago. The client asks for the regular hospital menu because she likes American food
The nurse assesses this response to be related to which of the following cultural concepts? 1. Acculturation 2. Ethnocentrism 3. Enculturation 4. Stereotyping
Patients who are prescribed exogenous androgens need to be warned that decreased libido:
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a. negative thinking. b. random thinking. c. ruminative thinking. d. all-or-nothing thinking.