The client reports right lower quadrant (RLQ) pain that is worse with coughing. Based on the client's history, the nurse suspects appendicitis. What additional examination technique does the nurse perform to confirm this suspicion?
a. Placing the hand over the lower right thigh and asking the client to flex the knee while pushing down on the knee to resist it and noting if the client complains of pain
b. Palpating deeply a point of the abdomen, located halfway between the umbilicus and the left anterior iliac crest
c. Asking the client to flex the right hip and knee to 90 degrees, then abducting the leg and noting if the client complains of pain.
d. Pressing down in an area away from the RLQ at a 90-degree angle to the abdomen, then releasing the fingers quickly and noting any complaint of pain
ANS: D
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A) Increased diastolic pressure B) Arteriole dilation C) Decreased vascular resistance D) Decreased blood viscosity
A nurse is caring for a premature newborn. What interventions does the nurse include on the baby's care plan? (Select all that apply.)
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An 11-year-old child stays home from school to care for his siblings while his mother works, is demeaned by his father, and has negative self-perceptions. Which indicator would suggest that nursing interventions are succeeding?
a. The child attends school regularly. b. The child is observed playing calmly. c. The father rarely speaks during nurse visits. d. The mother corrects negative comments by the child.
The nurse is caring for a client with breast cancer and removal of axillary lymph nodes. Which assessment finding is documented and brought to the physician's attention as potential lymphedema?
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