When performing auscultation of bowel sounds on the patient, the nurse may have to listen for at least how many minutes per quadrant for the assessment?
A) 1 minute
B) 2 minutes
C) 3 minutes
D) 4 minutes
B
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The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. What clinical manifestation is the most essential part of the nursing assessment to detect early signs of a worsening condition?
a. Posturing b. Vital signs c. Focal neurologic signs d. Level of consciousness
What action(s) by the staff nurse is an effective way to deal with a sexual harassment issue in the workplace? (Select all that apply.)
a. Tell the person to stop. b. Tell your best friend about the incident. c. File a formal grievance. d. Explain the situation to your spouse. e. Play along with the person and document the activities. f. Threaten the person with a sexual harass-ment lawsuit.
The nurse offers a patient two possible times to ambulate as the physician has ordered. The nurse is acting in which nursing role?
A) Communicator B) Patient advocate C) Manager and coordinator D) Caregiver
A patient is prescribed intravenous (IV) adenosine (Adenocard) for treatment of supraventricular tachycardia. Which safety precaution is most important for the nurse to perform before this drug is administered?
a. Bring the crash cart and defibrillator to the patient's bedside. b. Make sure that all four bed side rails are in the upright position. c. Place the patient's bed in the lowest position. d. Continuously monitor blood pressure.