While performing an examination for rebound tenderness on a client with upper right quadrant abdominal pain, the nurse notes a positive Blumberg's sign. What action should the nurse take?

A. Document this normal finding.
B. Report this finding to the health care provider.
C. Immediately follow with auscultation to detect bowel obstruction.
D. Repeat the maneuver with the client in a supine position with the knees flexed.


B
A positive Blumberg's sign is indicative of rebound tenderness and should be reported to the health care provider.

Nursing

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While recording in a patient's medical record, the nurse notices that a patient's Hematest results are positive. This finding means that there is(are):

a. Crystals in his urine. b. Parasites in his stool. c. Occult blood in his stool. d. Bacteria in his sputum.

Nursing

Place each step in the correct order that describes the process of confronting an employee about a policy violation

1. Listen and empathize with the employee?s rationale for the behavior. 2. Prepare for the confrontation. 3. Explain why the behavior cannot continue. 4. In a calm manner, describe the undesired behavior. 5. Schedule a follow-up meeting.

Nursing

In preparing her budget, a nurse manager determines that she needs to budget for six FTE RN positions in the upcoming year. The nurse manager determines that RN 1 has 5 weeks of vaca-tion and 3 days of education, and has averaged 3 sick days a year

RN 2 has 6 weeks of vacation, has asked to attend a 3-day conference and a 2-day workshop, and has no history of sick time. RN 3 is new, and you anticipate 3 weeks of orientation, as well as 4 weeks of vacation. RN 4 has 6 weeks of vacation and has an ongoing health condition, so you anticipate 2 weeks of sick time, as well as 3 days for education. RN 5 has 5 weeks of vacation, has no education planned, and averages 5 sick days per year. RN 6 has 6 weeks of vacation, has no educational opportunities planned, and has been off ill for 4 weeks. How many hours of productive paid time can be antic-ipated for the budget? a. 12,480 b. 11,200 c. 10,848 d. 10,688

Nursing

A nurse is assigned to a patient who has been a very close family friend for many years. To maintain a therapeutic relationship under these circumstances, it would be appropriate for the nurse to tell the patient:

1. "Don't worry about a thing. I will see that extra care is given to you on the other shifts, because you are my friend." 2. "You may feel uncomfortable about my caring for you. Everything that happens here is considered to be confidential, but would you prefer another caregiver?" 3. "This is a very busy unit, but I will make sure that you get lots of attention, and I will come back after my shift to help you." 4. "I'm so sorry that you are hospitalized; but I will tell all my friends to take special care of you for me."

Nursing