A nurse is assessing the abdomen of a client who may have an abdominal aortic aneurysm. When assessing for abdominal pulsations, which technique should the nurse use?
a. Inspection
b. Deep palpation
c. Light palpation
d. Light percussion
c. Light palpation
rationale: Light palpation is a method of assessment that checks for bulges and pulsations under the skin. The nurse should use light palpation in a case of a potential abdominal aortic aneurysm (AAA), as deep or forceful palpation could cause damage to the blood vessel and could lead to rupture. An AAA can be palpated to some degree of accuracy, but inspection does not yield results when assessing for an AAA.
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The Advanced Practice Nurse (APN) is using an otoscope to assess the ears of a 1-year-old. What would it be important for the APN to do?
A) Pull the ear lobe up and back B) Brace the hand holding the otoscope against the infant's face C) Have the infant supine with the head held by the nurse D) Have the infant sit with the head held by the nurse
Mrs. Fletcher comes to your office with unilateral pain during chewing, which is chronic. She does not have facial tenderness or tenderness of the scalp. Which of the following is the most likely cause of her pain?
A) Trigeminal neuralgia B) Temporomandibular joint syndrome C) Temporal arteritis D) Tumor of the mandible
Empowerment through participation has three essential components to which nurses must be sensitive in order for community transformations to occur. Which statement best describes one of the essential components?
A) Shared awareness by members of the health care community B) Mechanisms to mobilize the community to recognize its needs C) Suggest ways to develop a culture of community participation. D) People have the right to choose.
An adult client with a history of obesity, asthma, peripheral vascular disease, and migraine headaches tells the nurse she saw an advertisement in a magazine for a drug for migraine headaches:
"The drug was Imitrex; it looked very effective, and I wonder why my provider hasn't talked to me about using it for my headaches." What is the nurse's best response to this question about sumatriptan (Imitrex)? 1. "Your peripheral vascular disease is a contraindication for the drug." 2. "You have asthma, so you cannot use the drug." 3. "I think it will be good for you. Bring in the ad." 4. "Once you lose some weight, the drug will be perfect for you."