A patient in the intensive care unit has abdominal cramping and is suspected of having a small intestine obstruction. Which finding on auscultation of the abdomen would tend to confirm this suspicion?
A) High-pitched tinkling and rushing sounds
B) High-pitched, rapid, and loud sounds
C) Soft bubbling sounds with clicks and gurgles
D) Absent bowel sounds
A
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A woman is being taken to the operating room later in the day for incision and drainage of a large perineal hematoma. What action by the nurse is most important to meet the patient's psychosocial needs?
A. Administer a preoperative sedative to calm her. B. Allow the woman to make choices when possible. C. Introduce the patient to the nursery staff. D. Reassure the patient that hematomas heal quickly.
A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nurse would be most appropriate?
A) "His disability should automatically cover the cost of the chair." B) "We'll need to check with the insurance company about coverage." C) "You'll probably be able to get it if you pay for half the cost." D) "You might be able to get a regular wheelchair, but a motorized one is impossible."
The client is expressing anger at a nurse as the nurse sits tensely with arms and legs crossed, verbally agreeing that the client has a legitimate point
Compare the verbal and nonverbal behavior and determine which of the following caring behaviors necessary to building a trusting relationship was being compromised. A) Patience B) Congruency C) Warmth D) Empathy
The nurse observes that a client is pacing back and forth. The nurse asks the client how she is feeling, and the client responds by telling the nurse that she feels "out of control!" Which intervention is most appropriate initially to maintain a safe environment?
A. Restraining the client B. Placing the client in seclusion C. Continuing to monitor the client D. Moving the client to a quiet room and talking about her feelings