A 46-year-old man requires an assessment of his sigmoid colon. Which instrument or technique is most appropriate for this examination?
a. Proctoscope
b. Ultrasound
c. Colonoscope
d. Rectal examination with an examining finger
ANS: C
The sigmoid colon is 40 cm long, and the nurse knows that it is accessible to examination only with the colonoscope. The other responses are not appropriate for an examination of the entire sigmoid colon.
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A patient has returned to the nursing unit after having a percutaneous coronary intervention (PCI) in the hospital's cardiac catheterization laboratory. The nurse who is providing care for this patient should prioritize what assessment?
A) Assessing the patient's capillary refill time and peripheral pulses B) Assessing the patient for signs and symptoms of hemorrhage C) Assessing the patient for signs and symptoms of acute renal failure D) Assessing the patient for signs and symptoms of infection
A client is brought into the urgent care clinic with complaints of weakness and confusion. A finger stick reveals blood glucose of 480. What response would be most likely to help make a diagnosis?
1. The client always takes his insulin as prescribed and follows a healthy diet. 2. The client drank a bottle of beer last night before bed. 3. The client did not eat breakfast this morning because he was late for work. 4. The client has not taken insulin for the past four days because of a flu-like illness.
Although all of the following are important to culturally competent nursing care, which one is the most basic?
a. learning another language b. having signifigant information c. treating each person as an individual d. recognizing the importance of family
The nurse is collecting data for a patient who had an epidural anesthetic during surgery. What finding by the nurse is a priority to report?
a. Patient reports a feeling of heaviness in the legs. b. Patient experiences chills and shaking postoperatively. c. Patient's blood pressure is 100/60 mm Hg. d. Patient reports a feeling of numbness in the legs.