The nurse documents the trauma patient having a positive Kehr's sign, which is indicative of
A) peritoneal bleeding from the spleen.
B) retroperitoneal bleeding from pancreas and kidneys.
C) unexplained hypovolemia from abdominal trauma.
D) subcutaneous emphysema over the abdomen due to a ruptured bowel.
A
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A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and:
a. Recovery time b. Legal implications c. Social dysfunction d. Financial difficulty
A patient who has undergone an implantable cardioverter defibrillator (ICD) procedure asks the nurse about the purpose of this device. What would be the nurse's best response?
A) "To detect and treat ventricular fibrillation and ventricular tachycardia" B) "To detect and treat bradycardia" C) "To detect and treat atrial fibrillation" D) "To shock your heart if you have a heart attack at home"
The nurse has provided education for a client prescribed opioid treatment. Which statement made by the client indicates an understanding of the education?
A. "I will make sure I take stool softeners." B. "I will use a laxative if I need to." C. "I will increase my fluid intake." D. "I will increase my physical activity."
After the catheter is in place, the ED physician writes orders to discharge M.B. with
instructions to see his primary care provider (PCP) on the following day. It is your responsibility to give discharge instructions. Outline your care plan. What will be an ideal response?