A 62-year-old white male whose chief complaint is abdominal discomfort, is admitted to your unit. The patient is jaundiced and has an enlarged abdomen
To further evaluate for ascites, you ask the patient to kneel and assume the knee-chest position for several minutes. You then percuss his abdomen. Which of the following confirms the presence of ascites in the patient's abdomen? a. increased tympany over the abdomen
b. dullness over the umbilical area
c. increased dullness in the flanks
d. increased dullness in the right upper quadrant over the liver
B
Ascites is present in the abdomen if the umbilical area percusses dull. The ascitic fluid pools in the dependent area of the umbilicus because of gravity.
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A woman reports using aloe vera to treat constipation. Which response by the nurse is correct?
a. "Aloe vera is for external use only." b. "Please tell me if you are taking cardiac medications or diuretics." c. "Side effects of aloe vera are common." d. "You may experience a decrease in menstrual flow while taking aloe vera."
Susan, a recently appointed nurse manager, decided each of the staff nurses should be involved in an evidence-based research project. Being a visionary leader, she presented this plan at a staff meeting using which of the following frameworks?
A. Each nurse could choose his or her own project and would be given 2 hours per week paid time to work on the project. B. Mandate that each nurse must sign up for one of four projects, and reimbursement for 1 hour per month of time would be early dismissal on days when staffing was good. C. Each nurse would be assigned to a project, and there would be no reimbursement for time. D. Only nurses with 5 years of experience could participate in the two projects, and participation was considered a privilege without pay.
When soluble antigens from infectious agents enter circulation, what is tissue damage a result of?
a. Complement-mediated cell lysis b. Phagocytosis by macrophages c. Phagocytosis in the spleen d. Neutrophil granules and toxic oxygen products
The type of enema that is usually ordered for an infant is:
A. Tap water B. Hypertonic C. Oil retention D. Physiological normal saline