A client comes to the emergency department complaining of pain in the right lower quadrant. Rebound tenderness is present and the nurse assesses the client for referred rebound experiences
The client experiences pain the right lower quadrant. The nurse interprets this as which of the following?
A) Positive Rovsing's sign
B) Psoas sign
C) Obturator sign
D) Positive skin hypersensitivity test
A
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A woman arrives at the ICU after being the victim of a terrorist attack in a nearby shopping center involving a gas that spewed from a metal canister
The woman complains of a burning sensation in her eyes, mouth, and throat, and the nurse observes blistering on her face and arms. What chemical agent should the nurse suspect, and what intervention should she implement? A) Vesicant agent; apply lotion B) Nerve agent; administer benzodiazepine C) Vesicant agent; soap and water blot D) Nerve agent; provide ventilatory support
A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize?
A) Risk for Infection related to suppressed bone marrow function B) Risk for Impaired Skin integrity related to cytotoxic effects of doxorubicin C) Risk for Imbalanced Nutrition: More Than Body Requirements related to metabolic effects of doxorubicin D) Risk for Ineffective Airway Clearance related to decreased neurological function
What do blood pressure readings need to exceed for a patient to be diagnosed with hypertension?
a. 120/80 mm Hg b. 130/90 mm Hg c. 140/90 mm Hg d. 150/100 mm Hg
Which observation by the nurse indicates that an adolescent's cognitive thinking is developing at an expected level?
A) Adolescent says that all plastic remote controls break easily. B) Adolescent asks the mother to provide the sharp item needed to cut meat. C) Adolescent explains how working a part-time job will help pay for a car. D) Adolescent tells the parent that the dog moved the bicycle into the driveway.