During assessment of a client at risk for hematologic problems, the nurse palpates the client's spleen just below the ribs on the left side. What is the nurse's best action?
A. Document the finding as the only action.
B. Ask about a history of mononucleosis.
C. Apply an abdominal binder.
D. Notify the physician.
D
The normal spleen cannot be palpated. This finding indicates splenic enlargement and must be investigated further for the presence of disease or a pathologic condition.
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The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:
a. Ethics. b. Socialization. c. Altruism. d. Autonomy.
The nurse teaches an older patient with type 2 diabetes mellitus how to manage the disorder when becoming acutely ill with a cold or other infection
Which statements indicate that instruction has been effective? Standard Text: Select all that apply. 1. "I should call the doctor if I have severe diarrhea." 2. "Difficulty breathing means I need to get some more rest." 3. "I should continue to take my medication even if I'm vomiting." 4. "A large amount of ketones in my urine is nothing to worry about." 5. "I should not take my medication if I can't eat and call the doctor."
When meeting a toddler for the first time, the nurse initiates contact by
a. Calling the toddler by name and picking the toddler up b. Asking the toddler for her first name c. Kneeling in front of the toddler and speaking softly to the child d. Telling the toddler that you are her nurse
A woman is using Depo-Provera as a method of birth control. What common side effect should the nurse explain to the patient?
A) constipation B) nausea C) irregular bleeding D) pregnancy