Which part of the abdominal exam should be done first?
A) Auscultation
B) Inspection
C) Palpation
D) Percussion
B
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The nurse suspects a clot is obstructing the right chest tube of a patient. The best intervention is to
A) call the physician. B) milk the tubing. C) clamp the tubing. D) reposition the patient.
The nurse is aware that pin care for a client with an external fixation should include which of the following? (Select all that apply.)
a. Use a new gauze pad over all pins. b. Do not remove any crust from around the pin site. c. Report an increase in fever to 101.5 degrees Fahrenheit. d. Remove drainage from pin site. e. Monitor for redness, swelling, purulent drainage, or pain. f. Apply a clean, moist dressing.
A 7-year-old child is brought to the clinic by the parent. The child complains of intense itching, especially at night. If the diagnosis is scabies, the nurse would expect which finding?
a. Small ridges and dotted lines on the head, neck, and buttocks b. Ulceration and bleeding in the groin and on plantar surfaces c. Facial erythema and mucosal ulceration d. White nits along the hair shaft
The patient is hospitalized with cryptococcal pneumonia and AIDS. The nurse knows that the Standard Precautions for this patient will include the most important precaution. Which of the following is correct?
1. Hands are washed before and after gloving. 2. Once gloves are put on, they do not need to be changed until care is finished. 3. Needles and sharps should be placed in puncture-resistant containers on the med-icine cart out of the room. 4. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a "No Code."