A nurse performing an abdominal assessment is preparing to auscultate for bowel sounds. The nurse:
A. Begins in the right lower quadrant
B. Uses the bell end of the stethoscope
C. Holds the stethoscope firmly and deeply against the skin
D. Listens for at least 1 minute before deciding that bowel sounds are absent
Ans: A. Begins in the right lower quadrant
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A client requests a minister to perform a healing ritual during her hospitalization for preterm labor. The nurse should:
a. determine if the practice is harmful to the current medical treatment b. discuss with the client the lack of positive benefits associated with this practice c. recommend this practice be done outside of the hospital environment d. permit any ritual or symbolic healing system desired by the client
A client with urinary incontinence asks the nurse for suggestions about managing this condition. Which suggestion would be most appropriate?
a) "Try drinking coffee throughout the day." b) "Use scented powders to disguise any odor." c) "Make sure to eat enough fiber to prevent constipation." d) "Limit the number of times you urinate during the day."
When a novice nurse asks why the unit has a multidisciplinary approach to therapeutic ac-tivities, the nurse should explain that multidisciplinary collaboration:
a. Produces a higher level of insurance reimbursement b. Reduces the incidence of aggressive behavior by patients c. Produces quicker results and earlier discharge to the community d. Produces better outcomes than when only one perspective is used
The morning after a patient's lower leg surgery, the nurse notes that the dressing is wet from drainage. The surgeon has not yet been in to see the patient on rounds. What does the nurse do about the dressing?
a. Remove the dressing and puts on a dry, sterile dressing b. Reinforces the dressing by adding dry, sterile dressing material on top of the existing dressing c. Applies dry, sterile dressing material directly to the wound, then retapes the original dressing d. Does nothing to the dressing but calls the surgeon to evaluate the patient immediately