During the assessment of a postoperative patient's bowel sounds, the nurse auscultates absent sounds over all four abdominal quadrants. For which reason should the nurse identify interventions for this patient?
A. Normal bowel function
B. The onset of stool
C. Paralytic ileus
D. The onset of flatus
Answer: C
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The Crimean War of the mid-19th century was the venue for many of the sweeping changes to nursing that were introduced by Florence Nightingale. Which of the following statements best describes these changes?
A) Because of Nightingale's ideas, nursing became a profession that was appropriate for men as well as women. B) Nightingale proposed the germ theory of disease and organized nursing care around the principles of this theory. C) Nightingale helped schools of nursing transition from being based on superstition to being evidence-based. D) Under Nightingale's influence, nursing became respectable, organized, and effective.
The nurse prepares the patient for a test to determine the cause of the cerebrovascular accident (CVA). For which test should the nurse teach the client and family?
A) Carotid Doppler studies B) Visual acuity testing C) Arterial blood flow to weakened extremity D) Speech therapy evaluation
To palpate for a hernia at the external inguinal ring, you should insert your right index finger into the patient's scrotal sac
a. above the right testicle. c. below the right testicle. b. above the left testicle. d. below the left testicle.
A patient was an unrestrained driver in a frontal-impact motor vehicle collision. The nurse would expect which finding?
1. Unstable pelvic structure, causing severe pain on palpation 2. Neck muscle spasms caused by hyperextension of the neck 3. Paradoxical movement of the chest caused by multiple rib fractures 4. Unequal pulses in the lower extremities due to possible femur fracture