The nurse is preparing to assess a client's abdomen. The correct order for assessment of the abdomen is:
a. auscultation, inspection, palpation, percussion.
b. auscultation, palpation, percussion, inspection.
c. inspection, auscultation, palpation, percussion.
d. inspection, auscultation, percussion, palpation.
ANS: D
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Which statement made by a nursing assistant indicates that education regarding culturally competent care is needed?
1. "I will always address all patients by their last name." 2. "I will ask my patients how they would like for me to address them." 3. "I will respect my patients' need for privacy when they wish to pray." 4. "I will allow my patients to spend time with their families and not interrupt them when it's their scheduled time for a shower."
The clients says, "My baby is so thin and wrinkled. It looks like he has too much skin." Which is the most therapeutic response by the nurse to the new client's statement?
a. "You sound disappointed about how your infant looks." b. "All mothers are concerned about how their babies look." c. "Don't worry. In no time he'll fill out his skin and look just fine." d. "You know, all the cigarettes you smoked interfered with the nourishment he needed."
The nurse is preparing to discharge a client with a prescription for zidovudine (Retrovir). Which drugs should the client avoid while taking this medication? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Aspirin (ASA) 2. Herbal supplements 3. Penicillin (PCN) 4. Acetaminophen (Tylenol) 5. Oral multivitamin
A nurse is caring for a patient in the intensive care unit who is receiving intravenous lidocaine. The patient is drowsy and confused and reports numbness of the fingers and toes. Which standing order will the nurse initiate at this time?
a. Administer diazepam. b. Reduce the rate of infusion. c. Discontinue the infusion. d. Prepare for mechanical ventilation.