While percussing the abdomen, the nurse notes tympany. The organ that the nurse most likely is percussing over would be the:
a. pancreas.
b. liver.
c. stomach.
d. spleen.
ANS: C
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A woman complains of perineal pain. The nurse assesses swelling, but sees no other abnormalities. The woman does not wish pharmacological treatment. What suggestion by the nurse is most appropriate?
A. Applying a covered ice pack to the perineum every 2 to 4 hours for 20 minutes B. Placing cool cabbage leaves on the woman's peri-pad C. Sitting on a donut-type pillow when out of bed D. Immersing in a sitz bath with a water temperature of 120 °F (48.9 °C)
A nurse suspects that a client who is receiving lorazepam may be experiencing benzodiazepine withdrawal based on assessment of which of the following? Select all that apply
A) Anxiety B) Tremor C) Photophobia D) Insomnia E) Metallic taste
When assessing an older client who is receiving an antihistamine, the nurse integrates knowledge of which of the following as contributing to the client's higher risk of injury? Select all that apply
A) Hearing loss B) Steady gait C) Visual impairment D) Hypertension E) Diabetes
A nursing student has used up the limited number of attempts to pass the NCLEX. What would be recommended for the nurse to do before taking the examination again?
A) Repeat the basic nursing program. B) Attempt the test in another state. C) Take a refresher nursing course. D) Practice as an assistant for a year.