The nurse is assisting the physician during a colonoscopy procedure. The nurse helps the client to assume which of the following positions for the procedure?
1. Left Sims
2. Lithotomy
3. Knee chest
4. Right Sims
1
Rationale: The client is placed in the left Sims position for the procedure. This position uses the client's anatomy to the best advantage for introducing the colonoscope. The left Sims position would also be used for giving the client an enema while lying down. Therefore "lithotomy," "knee chest," and "right Sims" are incorrect.
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During a walk, an older male adult suffers a laceration from a broken tree branch. Rank the nurse's interventions in order, beginning with the most important intervention
a. Flush and cleanse the wound well. b. Investigate a possible safety hazard. c. Instruct him to keep wound covered. d. Verify a current tetanus immunization.
The nurse is concerned that an abdominal assessment completed by a nursing student includes inaccurate information. The student inspected, palpated, and then auscultated the patient's abdomen during the assessment
What should the nurse explain as the reason for the student's inaccurate information? 1. palpated prior to auscultating 2. inspected prior to palpating 3. inspected prior to auscultating 4. auscultated after inspecting
During the primary survey of a patient with severe leg trauma, the nurse observes that the patient's left pedal pulse is absent and the leg is swollen. Which action will the nurse take next?
a. Send blood to the lab for a complete blood count. b. Assess further for a cause of the decreased circulation. c. Finish the airway, breathing, circulation, disability survey. d. Start normal saline fluid infusion with a large-bore IV line.
A patient complains to you about the care he/she is receiving. To try to give the patient confidence in the hospital, doctors, and nursing staff, you should first report this to
A) your immediate supervisor. B) any LPN. C) any RN. D) his/her doctor.