A child begins to squirm and giggle when the nurse begins to palpate the abdomen. What is the best approach for the nurse to use with a child who is ticklish?
a. Skip the abdominal palpation.
b. Touch the abdomen firmly as the child takes short, quick breaths.
c. Press the abdomen with the child bearing down and holding the breath.
d. Palpate with the child's hand under the ex-aminer's hand.
D
Placing the child's hand on the abdomen and the examiner's hand on top of the child's hand with fingers touching the abdomen gives the child some control and reduces the sensation of tickling. Abdominal palpation should not be eliminated from the physical assessment. To help the child relax, the nurse would ask the child to take deep breaths. Bearing down and holding the breath would tighten the abdominal muscles.
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In order to obtain the best information possible during the working phase of the assessment, the nurse should utilize which of the following questions?
a. What has your doctor told you about your illness? b. You are really excited about the baby, aren't you? c. Are you having pain right now? d. Do you eat three meals a day?
To plan effective care for patients diagnosed with somatic symptom disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:
a. are generally chronic. b. have a physiological basis. c. can be voluntarily controlled. d. provide relief from health anxiety.
Two family members are diagnosed with the same genetic disorder but have distinctly different manifestations. What should the nurse consider as being the reason for this occurrence?
1. Imprinting 2. Penetrance 3. New mutation 4. Variable expression
Genital ambiguity should prompt the healthcare team to screen for
a. congenital adrenal hyperplasia b. hypothyroidism c. pituitary gland disorders