The mother of a 4yo child tells the pediatric nurse that the child's abdomen seems swollen. during further assessment, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. the nurse, suspecting or Wilms' tumor, should avoid which during the physical assessment?
a. palpate abdomen for mass
b. assess the urine for presence of hematuria
c. monitoring the temp for presence of fever
d. monitoring BP for HTN
a. palpate abdomen for mass
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The nurse who works in a sleep clinic knows that approximately _____% of adults suffer from insomnia
a. 10 to 20 b. 30 to 40 c. 50 to 60 d. 70 to 80
A client taking warfarin (Coumadin) should be instructed to avoid herbal supplements such as green tea, ginkgo, feverfew, garlic, cranberry, chamomile, and ginger. The client asks the nurse why these items should be avoided
The nurse bases her response on what knowledge? 1. These items increase the risk of bleeding. 2. These items cause severe hypotension. 3. The items decrease the effect of the warfarin (Coumadin). 4. These items cause severe headache.
A home care nurse visits a client who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence
The home is cluttered and unclean. During the assessment the nurse notes that the client is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the client, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework? A) Justice B) Autonomy C) Nonmaleficence D) Fidelity
An older adult patient is taking phenobarbital (Luminal) for seizure control. What is most important for the nurse to assess in the patient?
1. Fluid intake 2. Electrolyte balance 3. Respiratory function 4. Nutritional status