A patient has come to the clinic complaining of pain just above her umbilicus. When assessing the patient, the nurse notes Sister Mary Joseph's nodules. The nurse knows that this is a sign of what?
A) A GI malignancy
B) Dumping syndrome
C) Peptic ulcer disease
D) Esophageal/gastric obstruction
Ans: A
Feedback: Palpable nodules around the umbilicus, called Sister Mary Joseph's nodules, are a sign of a GI malignancy, usually a gastric cancer. This would not be a sign of dumping syndrome, peptic ulcer disease, or esophageal/gastric obstruction.
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A nurse is caring for a client who has a tracheostomy tube. What actions may the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Applying water-soluble lip balm to the client's lips b. Ensuring the humidification provided is adequate c. Performing oral care with alcohol-based mouthwash d. Reminding the client to cough and deep breathe often e. Suctioning excess secretions through the tracheostomy
Implementing the action plan on a pilot basis and installing an ongoing measuring/monitoring system to ensure success represents which step in the focus-analyze-develop-execute (FADE) model for quality improvement?
A. Focus B. Analyze C. Develop D. Execute
An age-related change of the skin of an older patient may cause it to be extremely dry, flakey, and wrinkled. The nursing assistant should
A) change patient's position every six hours. B) apply lotion to the skin. C) avoid frequent back care. D) all of the above
A medication is prescribed for the client and is to be administered by intravenous (IV) bolus injection. Which of the following is a priority for the nurse before administering the medication via this route?
a. Set the rate of the IV infusion. b. Check the client's mental alertness. c. Confirm placement of the IV line. d. Determine the amount of IV fluid to be administered.