A new nurse is palpating a client's thyroid gland. Which action requires intervention from the nurse's mentor?
a. The nurse stands behind, instead of in front of, the client.
b. The client is asked to swallow while the nurse finds the thyroid gland.
c. The nurse palpates the right lobe with his or her left hand.
d. The client is placed in a sitting position with the chin tucked down.
C
The client should be in a sitting position with the chin tucked down as the examiner stands be-hind the client. The nurse feels for the thyroid isthmus while the client swallows and turns the head to the right, and the nurse palpates the right lobe with the right hand. The technique is re-peated in the opposite fashion for the left lobe.
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The nurse teaches the patient with rheumatic disease that it is acceptable to perform passive range-of-motion exercises during which phase of the inflammatory process?
A) Acute exacerbation, severe pain B) Subacute exacerbation, moderate pain C) Subacute exacerbation, minimal pain D) Remission
An older client with dementia has been medicated with sedatives. The healthcare provider now prescribes a lower dose of the sedative and the nursing staff is concerned that the client will resume agitated behavior. What should be explained to the staff about the use of this medication?
1. The client's condition warrants physical restraint only. 2. The client's physical condition does not warrant use of the drug. 3. The client's family members would be upset if they were aware of the use of chemical restraints. 4. The use of psychotropic drugs may be considered excessive and harm the client's health.
A nursing instructor explains to students that the confidentiality of a patient's chart, the results of diagnostic procedures and consultations, and any notes they might write regarding the patient's health status is guaranteed by
1. The Joint Commission. 2. the Health Insurance Portability and Accountability Act (HIPAA). 3. the ethics committee. 4. the Nurse Practice Act (NPA).
What is the most frequent cause of acute pancreatitis?
A. diabetes B. Fat-laden diets C. Alcoholism D. Hypercholesteremia