The patient reports feeling pain in the right lower quadrant. The nurse shows an understanding of the anatomical location of organs in the abdomen by asking the patient which question?
1. "Do you have any problems eating fatty foods?"
2. "Can you tell me about your bowel habits?"
3. "When you eat, do you experience any nausea?"
4. "Do you get clammy when you miss a meal?"
2
Rationale 1: Problems eating fatty food would relate to the gallbladder, which is located in the right upper quadrant.
Rationale 2: The right lower quadrant contains the ascending colon. Discussing bowel habits is indicated.
Rationale 3: Nausea after eating is not a primary assessment finding associated with the bowels located in the right lower quadrant.
Rationale 4: Clamminess after missing a meal could be related to blood glucose abnormalities, which are associated with the pancreas. The pancreas is located in the left upper quadrant.
You might also like to view...
A nurse administers 100% oxygen to a client during and after electroconvulsive therapy treatment (ECT). What is the rationale for this procedure?
1. To prevent increased intracranial pressure resulting from anoxia. 2. To prevent decreased blood pressure, pulse, and respiration owing to electrical stimulation. 3. To prevent anoxia resulting from medication-induced paralysis of respiratory muscles. 4. To prevent blocked airway, resulting from seizure activity.
A client has inferred that her symptoms of depression are related to an imbalance of yin and yang. A
query that should elicit information to guide treatment and nursing care designed to accommodate the client's culture is a. "Are you concerned about treatment in a hospital setting?" b. " Are you willing to take Western medications to treat your illness?" c. "Who should receive information about your health problems?" d. "What foods should a person with this illness eat?"
Which of the following conditions is an emergency where the nurse should refer the client for medical treatment immediately?
A) Chalazion B) Acute angle-closure glaucoma C) Hordeolum D) Blepharitis
You are called in to help out in the ED where three UPS workers have just arrived by ambulance that was involved in a package being dropped, discharging a white powder into the air
Two of the workers inhaled the powder and got it on their skin and uniforms. Victim 1, who was catching the box tossed when it dropped, is in respiratory distress, coughing, and wheezing. He states he may also have swallowed some of the substance. Victim 2 has a rash with blisters on his face, hands, and arms. He also inhaled some of the white substance when the box broke open. Victim 3 was a little farther away unloading the van and only inhaled the substance. a. You are to triage these three clients and decide who the physician sees first. What levels would you triage these victims? b. What is your assessment of victim 1, victim 2, and victim 3? c. What treatment do you suggest for victim 1? d. What treatment for victim 2? e. What treatment would you decide for victim 3? f. What are the three pathogens that can be used by terrorists as biological weapons that are also pathogens that can cause humans disasters?