When palpating the liver's edge using the hook method, you find an enlarged, hard liver with irregular borders and nodules. These findings suggest what pathology?
a. cirrhosis c. hepatitis
b. liver malignancy d. ascites
B
A normal liver surface edge presents as a firm, sharp, regular ridge with a smooth surface. A liver that is enlarged and has an irregular border and nodules is abnormal and suggests malignancy. Cirrhosis and hepatitis present with an enlarged liver but without irregular borders and nodules.
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Which two components encouraged the change in view of health care from one of biological focus on disease management to comprehensive health care?
1. Medicare and Healthy People 2020 2. Healthy People 2020 and nursing theorists 3. Integrative health and Healthy People 2020 4. Integrative health and foreign exchange of ideas
The nurse assesses an area of drainage on the dressing of a postanesthesia care client's surgical wound. Which of the following should the nurse do?
1. Call the surgeon right away. 2. Cover the dressing with a new dressing. 3. Circle the area and mark it with the date and time. 4. Pass it off to the next shift.
In individual therapy involving a child or adolescent, who decides what will be shared with caregivers?
a. the child or adolescent c. the parents or guardian b. the therapist d. the therapist and the child
Which question would be most appropriate to ask a client when the goal is to identify precipitating factors that might have exacerbated the pain?"
A) "What were you doing when the pain first stated? B) "Do concurrent symptoms accompany the pain?" C) "When did the pain start?" D) "Is the pain continuous or intermittent?"