The nurse is assessing a client for acute appendicitis. Which of the following can be done to help diagnose this disorder? (Select all that apply.)
1. Assess for Blumberg's sign.
2. Assess bowel sounds.
3. Perform the iliopsoas muscle test.
4. Auscultate for bowel sounds in the right lower quadrant.
5. Perform the obturator muscle test.
6. Assess for referred pain to the right shoulder.
1, 3, 5
Assessment for acute appendicitis includes the use of the Blumberg's sign, iliopsoas muscle test, and the obturator muscle test. Bowel sounds are not affected by acute appendicitis. Referred pain to the right shoulder would indicate a liver dysfunction.
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A client who is depressed is telling the nurse that the challenges of life make life hopeless. The nurse plans to explore with the client:
1. the reason for the fatigue. 2. past success with overcoming challenges. 3. current reasons for failure. 4. distractions to ignore feelings.
A nurse in a large university hospital has cared for several patients with endocrine disorders over the past year. For which of the following patients would a nursing diagnosis of disturbed body image be most likely applicable?
A) A man who was treated for Hashimoto's thyroiditis B) A woman with a longstanding diagnosis of Cushing's syndrome C) A woman whose diagnosis of Graves' disease required radioactive iodine therapy D) A man who was diagnosed with hypoparathyroidism after neck surgery
Which metrics give providers some flexibility in meeting Meaningful Use criteria?
a. Menu elements b. Core elements c. Primary elements d. Secondary elements
Of the five clients listed below, whom should a nurse visit first?
a. A married couple who have been having problems with independent living since the husband developed a staphylococcal infection b. A client with acquired immune deficiency syndrome (AIDS) who is waiting for a hospice opening c. A new admission who was discharged from the hospital with a diagnosis of pneumonia d. A man with a draining chest abscess who is receiving intravenous antibiotics