You note marked, strong abdominal pulsations in the epigastric area when inspecting a patient's abdomen. These most likely indicate
a. normal peristaltic waves. c. distended abdomen.
b. abnormal peristaltic waves. d. aortic aneurysm.
D
Marked, strong abdominal pulsations in the epigastric area and widened pulse pressure are abnormal and may be caused by aortic aneurysm. An exaggerated pulsation can also occur in aortic regurgitation and in right ventricular hypertrophy. Waves of peristalsis sometimes are visible in very thin patients. They ripple slowly and obliquely across the abdomen. Marked, visible peristaltic waves with a distended abdomen indicate intestinal obstruction.
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When writing goals and outcomes, it is important to incorporate
a. how intervention will occur. b. a measurable or observable verb. c. what the nurse will teach. d. a brief description because this is only a guide on how to teach.
The nurse is caring for a dying client who is a member of the Orthodox Church of America. As a caring intervention, what should the nurse ask the family?
1. Whether they would like the nurse to notify their pastor for last rites 2. Whether they would give the nurse their funeral plans 3. Whether they want to consider organ donation 4. Whether they want to stop the blood transfusions
The nurse assesses that a newborn is of low birth weight, has distinctively malformed facial features, and is irritable and inconsolable. The nurse would review the mother's admission interview for which information?
1. Did the mother consume alcohol during the pregnancy? 2. Was preeclampsia a problem in the pregnancy? 3. Did the mother have problems becoming pregnant? 4. Does either the mother or father have heart defects?
A patient tells the nurse that he thinks he has cancer because every other male family member was diagnosed with cancer at the same age. The nurse responds, "Everything will be all right
" Which nontherapeutic communication technique has the nurse used? 1. Rejecting 2. Giving advice 3. Giving disapproval 4. Giving reassurance