To assess for internal injury in the peritoneum of a patient who has sustained blunt abdominal injuries in a fall, the most effective diagnostic test is a:
A) Radiograph
B) Computed tomography (CT) scan
C) Complete blood count
D) Barium swallow
Ans: B
Feedback: CT scan of the abdomen, diagnostic peritoneal lavage, and abdominal ultrasound are appropriate diagnostic tools to assess intra-abdominal injuries.
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An older adult client is suspected of being neglected by the caregiver. What assessment provides the nurse with the best information about this possibility?
a. Inspect skin in the "bathing suit zone" for bruises. b. Assess the client for orientation to person, place, and time. c. Compare the client's current weight with prior recorded weights. d. Perform orthostatic pulse and blood pres-sure readings.
You are working in an adolescent residential treatment center. When admitting an adolescent to your unit, you need to get parental consent for care. You discover that the adolescent's parents are divorced
One parent and a stepparent are caring for the adolescent. You would have the consent forms signed by: a. the parent or parents who were granted legal custody by the divorce decree b. either parent, as both parents are still the biological parents and have the right to sign forms c. the parent and stepparent the adolescent is living with at this time d. a court-appointed attorney-at-law who acts in the adolescent's best interest
How many medications are used to rapidly cause unconsciousness and muscle relaxation and to maintain deep anesthesia?
1. Always five medications 2. Single medication 3. Always two medications 4. Multiple medications
The nurses do not have consistent online access to clinical practice guidelines due to a poor connection to the Internet. The novice nurse is caring for a postoperative thyroidectomy client during the night shift
The other nurses on the unit are inexperienced, and are unable to offer advice about how to care for this type of client. Which of the following could occur as a result? Select all that apply. 1. The nurse does not monitor the client for signs and symptoms of hypocalcemia. 2. The nurse ambulates the client three times during the first postoperative day. 3. The nurse carefully listens for bowel sounds in all four quadrants. 4. The nurse does not ensure that the incision site and the client's neck are maintained in a "straight" unbent position. 5. The client falls in the bathroom.