The nurse is reviewing the radiologist's report of the abdominal x-ray of a patient suspected of having AAA. The report notes an "eggshell" appearance. How does the nurse interpret this data?
a. Validates the presence of an aneurysm
b. Suggests an artifact; therefore, the x-ray must be repeated
c. Indicates a congenital anomaly that will obscure the aneurysm
d. Indicates the aneurysm is the size of an egg
Answer: a. Validates the presence of an aneurysm
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While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. What is the nurse's most informative response?
a. "When you feel increased fetal movement" b. "When contractions are 10 minutes apart" c. "When membranes have ruptured" d. "When abdominal or groin discomfort occurs"
Order: Ery-Ped (erythromycin ethylsuccinate) oral suspension 20 mg/kg/daily PO, in four equally divided doses. The label on the bottle reads, "400 mg/5 mL," and the child weighs 65 pounds
Calculate the number of milliliters that you should administer. 1. 3.25 mL 2. 1.2 mL 3. 8.9 mL 4. 1.8 mL
A male adolescent client tells the nurse that he is almost positive that he is homosexual. This realization most likely has occurred during the developmental period of:
a. Late childhood b. Early adolescence c. Middle adolescence d. Late adolescence
A nurse has been providing care for an older adult patient who has a number of comorbid medical conditions
The nurse has been performing frequent assessment throughout the morning due to the patient's pallor, decreased level of consciousness, and unstable vital signs. During the nurse's most recent assessment, the patient has lost consciousness and the carotid pulse is not palpable. What is the nurse's priority action? A) Applying oxygen by face mask B) Performing a rapid head-to-toe assessment C) Initiating cardiopulmonary resuscitation D) Activating the hospital's code system