How will the nurse assess for flank tenderness in a 30-year-old female patient with suspected pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs along the midaxillary line.
b. Strike a flat hand covering the costovertebral angle (CVA).
Checking for flank pain is best performed by percussion of the CVA and asking about pain. The other techniques would not assess for flank pain.
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A 2-year-old is admitted to the ICU due to severe dehydration. The mother of the child is distraught and feels guilty that she took a long walk with her child in the sun earlier in the day
She said that she and the rest of the family had no issues with dehydration. What would be the best response for the nurse to give the mother? A) Children his age should have limited sun exposure and should be covered with sunscreen. B) The mother should regularly test the specific gravity of the child's urine to determine whether he is adequately hydrated. C) Children are at increased risk for dehydration due to a higher percentage of total-body water. D) The mother should look for taut skin and edema as signs of dehydration in her child.
The nurse understands that as clients age, they are more likely to have vision problems that may interfere with the communication process, including the lens of the eyes becoming less flexible,
making it difficult to accommodate shifts from far to near vision. The nurse recognizes that this condition is known as a. receptive aphasia. b. autism. c. presbycusis. d. presbyopia.
A 22-year-old pregnant woman with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
1. This large weight gain indicates possible gestational hypertension. 2. This small weight gain indicates that her infant is at risk for intrauterine growth restriction (IUGR). 3. It is impossible to evaluate this weight gain until the woman has been observed for several more weeks. 4. The woman's weight gain is appropriate for this stage of pregnancy.
A client is prescribed ibuprofen for pain. The nurse is aware that this drug is designed to target which inflammatory mediator to reduce pain?
1. Histamine 2. Leukotrienes 3. Complement 4. Prostaglandins