The nurse documents "pain noted during palpation at McBurney's point." Which describes the techniques used during the assessment?
A. The nurse palpated the area between the client's ileum and umbilicus in the client's right lower quadrant.
B. The nurse lightly palpated the around the client's umbilicus.
C. The nurse pressed into the client's abdomen and then pulled his hand back quickly.
D. The nurse palpated over the client's spleen.
Answer: A
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A client who is experiencing an exacerbation of rheumatoid arthritis (RA) will be discharged after a week's stay in the hospital
The client tells the nurse, "I can't believe how much better I am feeling now." Which is the rationale for why the client is feeling better? A) The client appreciates the various levels of care given. B) Appropriate scheduling of the client's care by all disciplines allowed the client to rest. C) The client was kept busy each day. D) The client's disease process having been stopped.
Which clinical manifestation would the nurse expect when assessing an adult obese patient with bibasilar atelectasis?
A) Diminished chest expansion B) Intercostal retractions on inspiration C) Diminished breath sounds in all lung fields D) Barrel-shaped chest
The client coughs out the tracheostomy tube. Which does the nurse implement?
1. Ventilate the client manually. 2. Insert a new tracheostomy tube. 3. Open the stoma with a fingertip. 4. Speak to the client's provider.
What type of adnexal disorder is causing her pain?
A 34-year-old married daycare worker comes to your office, complaining of severe pelvic pain for the last 6 hours. She states that the pain was at first cramp-like but is now sharp. Nothing makes the pain better or worse. She has had no vaginal bleeding or discharge. She has had no pain with urination. She has had some nausea for the last few days but denies vomiting, constipation, or diarrhea. She states she feels so bad that when she stands up she has fainted. Her past medical history consists of two prior cesarean sections and an appendectomy. She is married and has two children. She denies any tobacco, alcohol, or drug use. Her parents are both healthy. On examination you find a pale young woman who is obviously in a great deal of pain. She is lying on her right side with her eyes closed. Her blood pressure is 90/60 and her pulse is 110. She is afebrile. She has bowel sounds and her abdomen is soft. The speculum examination reveals a bluish cervix but no blood or purulent discharge at the os. There is a mild amount of tenderness with palpation of the cervix. The uterus is nongravid but the right adnexal area is swollen and very tender. Urine analysis is normal and the urine pregnancy test is pending. A) Ovarian cysts B) Tubal pregnancy C) Pelvic inflammatory disease