A physician needs to assess a patient for a heart murmur. The nurse should place the patient in what position?
a. Sims'
b. Prone
c. Lithotomy
d. Lateral recumbent
D
Lateral recumbent position aids in detecting heart murmurs.
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What is the BEST evidence that a nurse has been successful when catheterizing a client?
a. The client does not complain of pain. c. The sterile field has been maintained. b. The client develops bladder spasms. d. Urine drains from the catheter.
The first two postpartum assessments following the delivery of twins have been within normal limits. During the third assessment, the nurse finds that the fundus is "boggy" and the lochial flow has increased
The nurse expresses several large clots with moderate fundal massage. The fundus becomes firmer with the fundal massage. Which action should the nurse take next? a. Administer oxytocin (Pitocin) according to p.r.n. order. b. Notify the physician because the client needs surgery. c. Notify the physician because the site of the bleeding must be located. d. Reapply perineal pad, and tell the client to hold her thighs together tightly.
Community nurses help:
a. individuals. b. families. c. communities. d. all of the above.
A client is being discharged from an acute hospital following an extensive illness
The client continues to require IV antibiotics, is not able to complete ADLs (activities of daily living) without assistance, and has no family available to assist in the recovery phase. The nurse should make a recommendation for this client to: 1. Stay in the hospital until the client is fully capable of self-care. 2. Remain in the hospital until the antibiotic course is completed. 3. Be discharged to an extended care facility. 4. Go to a nursing home.