Which nursing intervention is necessary prior to a second trimester transabdominal ultrasound?

a. Ensure the client is NPO for 12 hours.
b. Instruct the client to drink 1 to 2 quarts of water.
c. Administer a soap suds enema.
d. Perform an abdominal prep.


B
When the uterus is still in the pelvis, visualization may be difficult. It is necessary to perform the test when the woman has a full bladder, which provides a "window" through which the uterus and its contents can be viewed.

Nursing

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When caring for a patient with toxic epidermal necrolysis you know that it is important to assess frequently for high fever, tachycardia, and extreme weakness and fatigue as these are indicative of what? (Mark all that apply.)

A) A comorbid infection B) Epidermal necrosis C) Impending death D) Increased metabolic needs E) Possible gastrointestinal mucosal sloughing

Nursing

During the abdominal assessment of an elderly patient, the nurse palpates a mass in the mid-abdomen. What actions should the nurse take? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Percuss the mass. 2. Ask the patient to cough forcefully and reassess. 3. Notify the physician immediately. 4. Auscultate the mass. 5. Ask the patient about any recent pain in the abdomen.

Nursing

A client has come to the clinic for an annual physical. The nurse plans to assess the client for signs of osteoporosis. Which of the following assessment questions would the nurse ask this 70-year-old post-menopausal female client?

1. "Have you experienced any palpitations?" 2. "Is constipation a problem for you?" 3. "Are you having any low back pain?" 4. "Are you having problems with swelling in your feet?"

Nursing

Nutrients that do not yield energy include

a. minerals, vitamins, and water. b. protein, water, and vitamins. c. water, vitamins, and carbohydrates. d. minerals, vitamins, and protein.

Nursing