The nurse is percussing a patient's kidneys as part of the physical assessment. Which nursing action displays a need for further instruction regarding this assessment technique?
1. The nurse focuses the examination at the patient's costal vertebral angles.
2. The nurse asks the patient to sit on the side of the examination table.
3. The nurse gently strikes the patient with the palmar surface of the hand.
4. The nurse applies the technique to either side of the spine between the last rib and the lumbar vertebrae.
3
Rationale 1: Percussion should take place at the costal vertebral angle.
Rationale 2: The patient must be lying on one side or be in a sitting position.
Rationale 3: The nurse should make a fist and gently strike the patient with the ulnar surface of the fist.
Rationale 4: The nurse should gently strike in the costal vertebral angle on either side of the vertebral column between the last rib and the lumbar vertebrae.
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A nurse educator is teaching a group of student nurses regarding problems of infertility and genetic inheritance of disease. Which statement made by the nurse indicates that teaching has been effective?
A) "A person's genotype is the observable expression of the traits." B) "The total genetic makeup of an individual is referred to as the phenotype." C) "In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected." D) "An individual is said to have an autosomal dominant inherited disorder if the disease trait is homozygous."
Which characteristic of a resident's room in a nursing home demonstrates Maslow's need of security?
A) Large airy windows B) Personal drawers and closets C) Consistent placement of the furniture D) Comfortable couches and rocking chairs
The nurse is assessing an infant brought to the clinic with diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicates the infant is still in the early or mild stage of dehydration?
1. Tachycardia 2. Bradycardia 3. Increased blood pressure 4. Decreased blood pressure
Alex has been diagnosed with type 2 diabetes and is prescribed Glucophage. He is invited to a party by his friend Ryan. Which of the following statements would be accurate for the given situation?
A. Alex should avoid alcohol use. B. Alex is unlikely to develop symptoms of fatigue and respiratory or abdominal distress. C. Alex should take a shot of insulin right after having food at the party. D. Alex should take a shot of insulin before going to the party.