A nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident. What does this finding indicate?
a. Retroperitoneal bleeding and bruising over the flank
b. Hematuria with abdominal bruising
c. Distended bladder with painful urination
d. Bladder spasms on palpation of abdomen
A
The Grey Turner sign is bruising over the flank and retroperitoneal bleeding. This is observed in blunt trauma to the kidney.
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The nurse will record a positive reading of a tuberculin skin test when it is assessed:
1. 1 day postinjection with a 10-mm area of redness and swelling. 2. 2 days postinjection with an 8-mm area of redness and swelling. 3. 4 days postinjection with a 3-mm area of redness and swelling. 4. 5 days postinjection with a 2-mm area of redness and swelling.
A woman is 6 weeks pregnant and has elected to terminate her pregnancy. The nurse knows that the most common technique used for medical termination of a pregnancy in the first trimester is
a. Administration of prostaglandins b. Dilation and evacuation c. Intravenous administration of Pitocin d. Vacuum aspiration
Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
a. Check ability to plantar and dorsiflex the foot. b. Determine the patient's readiness to ambulate. c. Log roll the patient from side to side every 2 hours. d. Ask about pain control with the patient-controlled analgesia (PCA).
Interpretation of results refers to the process of attaching meaning to the numerical values obtained in statistical testing
A) True B) False