During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded and firm to the touch. During percussion, the nurse notes a drumlike quality of the sounds across the quadrants. This type of sound indicates:
a. Constipation.
b. Air-filled areas.
c. Presence of a tumor.
d. Presence of dense organs.
ANS: B
A musical or drumlike sound (tympany) is heard when percussion occurs over an air-filled viscus, such as the stomach or intestines.
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A) Difficulty ambulating B) Frequent swallowing C) Decrease in temperature D) Bradycardia
A health care facility is using an electronic health record (EHR) system for documentation purposes. Every Thursday from 11:00 to 12:00 P.M., the EHR shuts down for maintenance. Which would be of concern to the nurse during that weekly downtime?
a. Illegal access to records can take place. b. Loss of previous documentation can occur. c. Loss of coordination of medication list and vital signs can occur. d. Sometimes passwords are lost.
Which measures whether urine is acidic or alkaline?
a. Testing for pH b. Testing for glucose c. Testing for ketones d. Straining urine
Who is the only nurse scholar to outline three separate criteria for analysis and evaluation for the three levels of nursing theory?
A) Whall B) Barnum C) Hardy D) Chinn