A patient with severe hemophilia begins to complain of headache pain. Which assessment is a priority for the nurse to perform?
a. Cultural
b. Neurologic
c. Genetic history
d. Gastrointestinal
b
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The nurse is performing a physical assessment for a client who underwent a hemorrhoidectomy the previous day. The nurse notes that the client has lower abdominal distention accompanied by dullness to percussion over the distended area
Which is the nurse's priority action? a. Assess the client's vital signs. b. Determine the last time the client voided. c. Insert a rectal tube to facilitate passage of flatus. d. Document the findings in the client's chart.
After being in labor for several hours with no progress, the patient is diagnosed with cephalopelvic disproportion (CPD) and must have a cesarean section. The patient is being prepared for a cesarean delivery in the operating room
The doctor is present. The nurse knows that the last assessment the nurse should make just prior to the patient's being draped for surgery is: 1. Maternal temperature. 2. Maternal urine output. 3. Vaginal exam. 4. Fetal heart tones.
The body temperature of terminally ill patients rises
Indicate whether the statement is true or false.
A health care provider is about to perform paracentesis on a client with abdominal ascites. Into which position would the nurse assist the client?
A. Supine B. Upright C. Left side-lying D. Right side-lying