The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI. The nurse notes that the patient is complaining of right flank pain. To assess for tenderness, the nurse should gently do which of the following?
a. Auscultate the costovertebral angle.
b. Palpate the tenth intercostal space.
c. Percuss the costovertebral angle.
d. Palpate the area above the ischial spine.
C
If the kidneys become infected or inflamed, flank pain typically develops. You assess for tenderness early in the disease by gently percussing the costovertebral angle (the angle formed by the spine and twelfth rib). Inflammation of the kidney results in pain on percussion.
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A client has been waiting for a donor heart for several months. When he receives the call that a heart has become available, the client states, "How long do I have to get to the hospital?" What is the best response by the transplant nurse?
A) "You can take your time. We have to get your heart so it could be 24 hours." B) "You must be at the hospital within the next 15 minutes, or your heart will go the next person on the list." C) "The heart has to be transplanted within 6 hours, so it is advisable that you go to the hospital to be prepared now." D) "We can put the heart on ice and wait for you for 2 days."
Menses starts ____________________ days after ovulation
Fill in the blank(s) with correct word
For a client with renal trauma exhibiting gross hematuria, the nurse would enforce the activity limitation of
a. ambulation in hall once daily. b. ambulation in room only. c. bed rest. d. bathroom privileges.
The nurse is caring for a client who is HIV positive. The client has become confused over the course of the shift, and the client's pupils are no longer reacting to light equally. The nurse an-ticipates an order for which medication?
a. Prednisone (Deltazone) b. Trimethoprim/sulfamethoxazole (Bactrim) c. Pentamidine isethionate (Pentam) d. Ketoconazole (Nizoral)