A client is diagnosed with an enterocele. The nurse interprets this condition as:
A) Protrusion of the posterior bladder wall downward through the anterior vaginal wall
B) Sagging of the rectum with pressure exerted against the posterior vaginal wall
C) Bulging of the small intestine through the posterior vaginal wall
D) Descent of the uterus through the pelvic floor into the vagina.
C
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A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing assessment suggests the child has a concussion?
a. Sleepy but easily arousable b. Complaining of a stiff neck c. Cannot remember what happened to him d. Pupils react sluggishly to light
While preparing a drug for administration, a nurse is asked a question by the nursing assistant, is greeted by visitors coming to see a hospitalized patient, and receives a telephone call
To promote safety, which action should the nurse take in this situation? A. The nurse should say to the nursing assistant, "Never interrupt me while I'm preparing medications. That could cause me to make a mistake." B. The nurse should review the rights of medication administration because the events were distracting and therefore increase the likelihood of a medication error. C. The nurse should report the interruptions to the nurse manager and request implementation of a new policy on visiting hours at the hospital. D. The nurse should recognize the importance of not accepting telephone calls during the medication administration process.
A patient reports epigastric abdominal pain, nausea, and vomiting. The serum amylase level is 450 units/dL. For which health problem should the nurse plan care?
1. gastritis 2. malnutrition 3. pancreatitis 4. diverticulitis
The nurse is teaching a student nurse about the incidence and etiology of nephromas. Which of the following accurately describes this condition?
A) Kidney tumors are almost always benign. B) Kidney tumors occur more frequently in women. C) Kidney tumors are rare in people under 30 years of age. D) Some nephromas have a hereditary risk factor.