Performing an abdominal assessment, a nurse auscultates before palpating and percussing the abdomen. The nurse performs the assessment in this manner because:
A. It is less painful for the client
B. Palpation and percussion can increase peristalsis
C. It identifies any potential areas of abdominal tenderness
D. It gives the client more time to become comfortable with the examiner
Ans: B. Palpation and percussion can increase peristalsis
You might also like to view...
A client tells the nurse, "I'm a real freak. I'm a psychiatric patient, in and out of hospitals all the
time. None of my friends or relatives is crazy like this.". The reply that would help the client understand the prevalence of mental illness is a. "Comparing yourself with others has no real advantages.". b. "Mental illness affects 50% of the adult population in any given year.". c. "Nearly 50% of all people aged 15 to 55 years have had a psychiatric disorder at some time in their lives.". d. "You are not to blame for having a psychiatric illness. The important thing is to recognize your need for treatment.".
When using the Stetler Model of research utilization, the nurse researcher reviews the risks, resources, and readiness of staff associated with making changes in practice based on evidence. Which part of the model is this?
a. Phase I: Preparation b. Phase II: Validation c. Phase III: Comparative Evaluation d. Phase IV: Translation/Application
MC A group of middle-age women ask the nurse to prepare a presentation on the relationship of menopause and depression. The nurse researches the topic and includes the following information in the presentation
A. Menopause is a risk for major depression. B. Progression through natural menopause is not a risk for major depression. C. Depression prior to menopause actually delays menopause. D. Postpartum depression leads to a lower risk for depression during perimenopause.
The nurse carefully applies suction prior to deflating the cuff on a cuffed tracheostomy in order to prevent which complication?
a. Bleeding b. Excessive negative pressure c. Accidental dislodgement of the tube d. Aspiration