The nurse notes rebound tenderness in the client with peritoneal tenderness. What is the correct term for this assessment?
A. Biliary colic
B. Murphy's sign
C. Blumberg's sign
D. Peristaltic waves
C
Rebound tenderness is termed Blumberg's sign.
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A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged?
Select all that apply. 1. Maintain bed rest for a week. 2. Use perineal pads as directed. 3. Perform perineal irrigation as prescribed. 4. Cleanse the perineal area daily with a sitz bath. 5. Apply topical antibacterial ointment to the area.
The parents of a 12-year-old who was prescribed fluoxetine (Prozac) inform you that their child is having trouble sleeping. What is your best response?
a. "This is a normal expected side effect of fluoxetine." b. "We may need to ask the prescriber to order something to help your child sleep." c. "Children are more sensitive to the effects of this drug and may need a lower dose." d. "Before bedtime be sure that your child does not eat or drink anything with caffeine."
The client is ordered to be treated with glargine (Lantus) insulin. Because of the type of insulin that the client is receiving, the nurse plans a dosage schedule that administers the medication at which time(s)?
a. 7:00 AM b. 7:00 AM and 11:00 AM c. 11:00 AM and 9:00 PM d. 9:00 PM
The nurse is collecting data from a client seen in the health care clinic for a first prenatal visit. The nurse asks the client when the first day of her last menstrual period was and the client reports February 9, 2012
Using Nägele's rule, the nurse determines that the estimated date of con-finement (delivery) is: 1. October 16, 2012 2. November 16, 2012 3. October 7, 2012 4. November 7, 2012