A nurse performing a physical examination is assessing the client for costovertebral angle tenderness. When the nurse percusses the area, the client complains of sharp pain. The nurse interprets this finding as most indicative of:
A. Liver enlargement
B. Ovarian infection
C. Spleen enlargement
D. Kidney inflammation
Ans: D. Kidney inflammation
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A patient's feeding tube has been successfully placed in the small intestine with continuous flow tube feeding. The nurse knows that this approach was chosen because:
a. intermittent feedings cause increased nausea and vomiting. b. the increased filling of the stomach increases absorption. c. the intestinal mucosa normally receives nutrients from the stomach in peristaltic waves. d. this will prevent malabsorption syndrome.
When admitting a client with Goodpasture syndrome, the nurse should focus assessments on which body systems?
A) Renal and cardiovascular B) Pulmonary and gastrointestinal C) Cardiovascular and renal D) Pulmonary and renal
Mrs. Little is a 44-year-old patient who presents to the office with abdominal pain and fever. During your examination, you ask the patient to raise her head and shoulders while she lies in a supine position. A midline abdominal ridge rises
You chart this observation as a(n): a. small inguinal hernia. b. large epigastric hernia. c. abdominal lipoma. d. diastasis recti.
Which of the following does not describe the focus of acute care nursing?
a. acute care is aimed at disease detection in a presymptomatic stage b. acute care is a component of primary prevention c. acute care is aimed at preventing complica-tions in patients with symptomatic chronic disease d. acute care is a component of secondary prevention