A physician needs to insert a vaginal speculum into a patient for a vaginal examination. In what position should the nurse place the patient?
a. Sims
b. Prone
c. Lithotomy
d. Dorsal recumbent
ANS: C
The lithotomy position provides maximal exposure of genitalia and facilitates insertion of a vaginal speculum.
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While a patent is being interviewed by the nurse, a family member states, "What my father really means is that he doesn't know for sure what the physician meant about the medical diagnosis."
Which communication technique did the family member use? a. Focusing b. Clarifying c. Summarizing d. Sharing observations
When assessing an adult after a fall, the nurse notes a dilated pupil on the right and a hematoma in the right temporal area. The nurse realizes that this likely means that
1. the process affecting the pupil is occurring locally on the right side (ipsilateral pupil dilation). 2. the process affecting the pupil is occurring on the opposite side and is unrelated to the right temporal hematoma. 3. the process affecting the right pupil is temporary and soon both pupils will be equal in size. 4. the process causing the right pupil to dilate is a result of a metabolic process.
Which symptoms should the nurse anticipate are associated with alcohol withdrawal?
A. Lethargy, constipation, light sensitivity, and weight loss B. Anxiety, seizures, hearing loss, and alopecia C. Tremors, anxiety, confusion, and delirium D. Abdominal pain, chills, pupil dilation, and lethargy
The "C" in the RACE system stands for
A) Care for the patient. B) Call for help. C) Carry the patient to safety. D) Contain the fire.