When percussing over the client's liver area, the nurse hears a low-pitched, thudlike sound. What is this normal finding called?

a. ascites c. flatness
b. dullness d. tympany


B
Percussion, the use of short, tapping strokes on the skin surface to create vibrations in underlying organs, is a way to assess density of structures or to determine organ location and size. Different sounds are produced by percussion of different organs. Percussion of the liver would produce a low-pitched, thudlike sound that represents dullness.

Nursing

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a. Social b. Biological c. Psychological d. Psychobiological

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A nurse has developed a plan of care with nursing interventions designed to meet specific client outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?

A) Continue to follow the written plan of care. B) Make recommendations for revising the plan of care. C) Ask another health care professional to design a plan of care. D) State "goal will be met at a later date."

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You are caring for a patient with an indwelling catheter. As the patient returns from the radiology department you note the collection bag is on the side rail. After assuring the patient is comfortably back in his bed you also note the securing device is gone. What should you do?

What will be an ideal response?

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A client with diabetes has taken the usual dosage of insulin. The client refuses to eat

despite the nurse's insistence. Which is most useful in prompting the nurse to prepare for a possible complication? A) Scientific problem-solving B) Interpreting results C) Critical thinking skills D) Trial and error

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