Which action by the nurse is appropriate when attempting to locate the spleen during the abdominal assessment?
1) Percussing over the 9th to the 11th ribs at the midaxillary line
2) Performing the scratch test
3) Auscultating for venous hums
4) Palpating for the apical pulse
ANS: 1
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A nurse determines that the best way to clean a long incision that is sutured or stapled closed with approximated edges is to
1. Use antiseptic swabs and clean from the inferior end of the incision to the superior end. 2. Use antiseptic swabs and clean around the wound in a circular manner. 3. Use sterile antiseptic swabs or cotton balls and forceps, and clean from the superior end of the incision to the inferior end. 4. Use one cotton ball to make a circular sweep and then dispose of the cotton ball.
The staff nurse has been asked to assume leadership of a work team. Which strategies should this nurse use to increase the team members' trust? Select all that apply
1. Keep promises that are made. 2. Give honest feedback. 3. Create a logical excuse for not keeping promises made. 4. Reward followers. 5. Ask followers to defer feedback until the end of the project.
A pregnant client at 20 weeks' gestation comes to the clinic for her prenatal visit. Which of the following client statements would indicate a need for further assessment?
a. "I hate it when the baby moves."b. "I've started calling my mom every day."c. "My partner and I can't stop talking about the baby."d. "I still don't know much time I'm going to take off work after the baby comes."
Three guidelines to follow when deciding on a course of action related to an ethical dilemma are
A) discuss the issue with an expert, read research on the subject, and investigate current public laws. B) collect the facts, ask yourself what would happen if everyone behaved in this way, and discuss concerns with an authority. C) present the issue to the ethics committee, ask others what they would want in this situation, and list possible courses of action. D) make a list of possible solutions, test the solutions, and revise the decision based on results.