Five hours following a repair of an incarcerated hernia, a 1-year-old continues to cry and has vomited three times. The nurse should:
a. Assess bowel sounds in all four quadrants
b. Check for blood in the diaper
c. Give a small feeding of clear liquids
d. Turn the child on the abdomen
A
After repair of an incarcerated hernia, the child should be assessed for a bowel obstruction by checking for bowel sounds.
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The nurse is performing an assessment on a 65-year-old man. He reports a crusty nodule behind the pinna. It intermittently bleeds and has not healed over the past 6 months. On physical assessment, the nurse finds an ulcerated crusted nodule with
an indurated base. The preliminary analysis in this situation is that this: a. Is most likely a benign sebaceous cyst. b. Is most likely a keloid. c. Could be a potential carcinoma, and the patient should be referred for a biopsy. d. Is a tophus, which is common in the older adult and is a sign of gout.
A normal HbA1c level for a normal person is
a. less than 5.4%. c. between 5.4% and 6.5%. b. less than 6.5%. d. between 3% and 5.4%.
A newly married couple plans to use natural family planning. It is important for them to know how long an ovum can live after ovulation. The nurse knows that teaching is effective when the couple responds that an ovum is considered fertile for:
1. 6 to 8 hours. 2. 24 hours. 3. 2 to 3 days. 4. 1 week.
Which is the priority nursing assessment for a pediatric client who is postoperative for tonsillectomy?
1. Arrhythmias 2. Dehydration 3. Increased blood sugar 4. Increased urinary output