Which inspection finding would be considered abnormal?
A) Bilateral nipple inversion
B) Nipples that point outward, slightly upward, and lateral
C) Bilateral nipple eversion
D) Unilateral nipple inversion
D
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An older patient is experiencing abdominal discomfort. What should the nurse do when examining this patient's abdominal area? Select all that apply.
1. Warm the hands. 2. Palpate in areas closest to the pain first. 3. Use moderate pressure on the painful area. 4. Auscultate bowel sounds prior to palpation. 5. Examine the abdomen for abnormal peristaltic waves prior to palpation.
A life-threatening condition is recognized with the assessment of:
a. pain with downward pressure on both an-terior superior iliac spines. b. guarding and intense pain with deep pal-pation of the abdomen. c. distant and muffled heart sounds, with distended neck veins. d. severe throbbing pain in one eye, with photophobia.
A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do."
The nurse is exhibiting: a. stereotyping. b. ethnocentrism. c. cultural accommodation. d. empathy.
The client has an IV containing sodium bicarbonate. The nurse is preparing to administer a dose of dopamine. What is the highest priority action on the part of the nurse?
a. Flush the line with normal saline before and after pushing the dopamine. b. Start a second IV line to use for administration of the dopamine. c. Turn the IV wide open before pushing the dopamine through it. d. Explain to the client that he may feel burning while the dopamine infuses.