A client's bladder is found to be distended. At which location would the nurse begin palpating?
A) At the umbilicus
B) At the symphysis pubis
C) In the right lower quadrant
D) In the left lower quadrant
B
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The nurse enters the adolescent client's room after the unlicensed assistive personnel (UAP) has finished bathing the client and finds used tissues on the floor by the bed, the client's bedpan on the foot of the bed, and the bath basin drying on
top of the bedside table. What is the nurse's priority action? 1. Reprimand the UAP. 2. Instruct the client to clean her room. 3. Discard tissues and put the bedpan and basin away. 4. Call housekeeping to clean the room.
The nurse is teaching young parents on the proper techniques for feeding infants and young children who are bottle-fed
The nurse should instruct the parents to feed the children in an upright position in order to prevent which of the following? 1. Sinus infection 2. Choking 3. Aspiration 4. Otitis media
Mr. D is an African American diabetic who is 60 years old. His weight is 190 pounds and his BMI > 25. He has several co-morbid conditions including hypertension, hyperlipidemia, and smoking
His most recent lipid panel results showed cholesterol 242, triglycerides 240, LDL 200, and HDL 23. The nurse should inform him that he has several risks for developing heart disease including: 1. Race, age, and moderate weight. 2. Obesity, low LDL, and diabetes. 3. Diabetes, tobacco cessation, and obesity. 4. Diabetes, hypertension, and age.
A client with schizophrenia is reluctant to take his prescribed oral medication. The most therapeutic response by the nurse to this refusal is:
A) "I can see that you're uncomfortable now, so we can wait until tomorrow." B) "If you refuse these pills, you'll have to get an injection." C) "What is it about the medicine you don't like?" D) "You know you have to take this medicine for your own good."