Percussion
What will be an ideal response?
tapping the person's skin with short, sharp strokes to assess underlying structures -- the strokes yield an audible vibration and a characteristic sound that depicts the location, size, and density of the underlying organ.
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The nurse is caring for a client with severe diarrhea, nausea and vomiting. Expected findings upon physical assessment and review of laboratory studies include:(Select all that apply) Standard Text: Select all that apply
1. Increased breathing 2. Change in level of consciousness 3. pH below 7.35 4. pH above 7.35 5. Low bicarbonate level
The nurse is assigned to the Risk Management Team. Which events would be addressed by this team? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A client's hand is injured during an arterial blood gas draw. 2. A client's family is dissatisfied with the breakfast just served. 3. A client leaves the hospital against medical advice (AMA). 4. A client claims he is not ready to be discharged. 5. The family does not want a client to be transferred from the intensive care unit (ICU).
In which of the following situations would you expect low morale and frustration?
a. Statement of philosophy indicates "We value our staff." When staff members leave, careful evaluation is done to deter-mine whether staff should be replaced by full- or part-time employees. b. Practices include annual staff recognition celebrations. During times of change, staff members are actively included in issue identification and solution finding. c. Recruitment ads promise opportunities for advancement for everyone. Promotions are given only to individuals with long-standing service and entrenched rela-tionships. d. The vision indicates that there is strong commitment to lead in research. The or-ganization has tried to implement a strong campaign to attract leading nurse re-searchers but has experienced difficulty in doing so.
A patient is scheduled to have a vaginal examination and a Pap smear. Which patient statement indicates understanding of the nurse's instruction concerning the test and preparation?
1. "I cannot bathe for 36 hours prior to the examination." 2. "I should not douche the day before my exam." 3. "My period will not be a reason to defer my vaginal examination." 4. "My physician will use Vaseline to lubricate the speculum and prevent discomfort."