Mr. Walker is a 56-year-old man who comes to the ambulatory health center for a routine health assessment. On examination, you note hepatomegaly, which is:
A. enlargement of the liver.
B. bowel protrusion through abdominal musculature.
C. inflammation of the peritoneum.
D. a burning sensation in the upper abdomen.
Answer: A. enlargement of the liver.
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During a hot summer day, an older adult client tells the clinic nurse, "I am not drinking or voiding that much these days." The nurse notes a heart rate of 100 beats/min and a blood pres-sure of 90/60 mm Hg
Which action does the nurse take first? a. Give the client something to drink. b. Insert an intravenous catheter. c. Teach the client to drink 2 to 3 liters a day. d. Perform a bladder scan to assess urine volume.
A child is more susceptible to dehydration states than adults because children:
a. forget to drink enough water unless their parents remind them b. have diarrhea and vomiting more often than adults c. have a larger portion of the total body fluid in extracellular spaces d. don't regulate their intake of salt and potassium as well as adults do
Nurses from other countries who apply for jobs in the United States should be aware that which of the following types of information should be included on the resume only with discretion?
a. Identification b. Job objective c. Affiliations d. References
The depressed patient who has been taking amitriptyline (Elavil) for the past 2 weeks complains of still feeling depressed and wants to abandon the drug. How should the nurse respond?
a. "I will ask the physician about a new order for a different drug." b. "You probably should quit taking Elavil if it is not helping you." c. "Sometimes drinking a small glass of wine with meals helps." d. "These drugs take several weeks to be-come effective."