Cody is a teenager with a history of leukemia and an enlarged spleen. Today he presents with fairly significant left upper quadrant pain. On examination of this area a rough grating noise is heard. What is this sound?
A) It is a splenic rub.
B) It is a variant of bowel noise.
C) It represents borborygmi.
D) It is a vascular noise.
A) It is a splenic rub.
A rough, grating noise over this area represents a splenic rub, which can accompany splenic infarction. Rubs also occur over the liver and pleura and pericardium.
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Which of the following should the nurse recommend for a moderate-intensity exercise for older adults who are ambulatory and in good health?
a. Walk 4 miles in 60 minutes. b. Work in the garden for 45 minutes. c. Swim laps in the pool for 20 minutes. d. Wash and wax the car for 75 minutes.
A 7-year-old child presents to the clinic with an exacerbation of asthma symptoms. On physical examination, the nurse would expect which assessment findings?
1. Wheezing 2. Increased tactile fremitus 3. Decreased vocal resonance 4. Decreased tactile fremitus 5. Bronchophony
It is not necessary to explain procedures to mentally confused patients.
Answer the following statement true (T) or false (F)
A woman who is 7 months pregnant is waking up at night with gastroesophageal reflux. Which of the following medications is most highly recommended?
A) Terbutaline (Brethine) B) Diphenoxylate (Lomotil) C) Ranitidine (Zantac) D) Chlorothiazide (Diuril)