The nurse is assessing an adolescent patient admitted to the emergency department (ED) with right lower quadrant (RLQ) pain. What test can be done to assess for appendicitis?
1) Murphy sign
2) Iliopsoas muscle test
3) CVA tenderness
4) Scratch test
ANS: 2
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The nurse is caring for a client in the pediatric intensive care unit. The parents have expressed anger over the nursing care their child is receiving. The nursing intervention most appropriate for these parents would be to:
1. Ask the physician to talk with the family. 2. Explain to the parents that their anger is affecting their child, so they will not be allowed to visit the child until they calm down. 3. Acknowledge the parents' concerns and collaborate with them regarding the care of their child. 4. Call the chaplain to sit with the family.
The patient's lower chest has been punctured with a knife that is still in place. What should the nurse's first action be?
a. Remove the knife b. Apply an airtight dressing over the wound c. Place the patient in a modified Trendelenburg position d. Immobilize the knife with dressings and tape
In caring for pregnant clients, the nurse realizes that information on conventional, complementary, and alternative medicine is best obtained by which of the following means?
1. Obtained at the medical office if the physician feels it is appropriate 2. Obtained from family and friends who have already experienced a situation 3. Readily obtainable on the Internet 4. Passed on by word of mouth
A nurse plans care for an older adult with advanced dementia. Which of the following plans is most appropriate regarding the pain treatment plan?
A) Monitor assessment findings including vital signs for indications of pain. B) Treat pain that is implied by contractures and diagnoses of arthritis. C) Understand that persons with dementia do not experience pain. D) When the client begins wandering treat the client for pain.