When assessing a patient's abdomen, the nurse notes frequent pulsations in the epigastric region. What action should the nurse take?
A. Review the patient's medical records for signs and symptoms of cirrhosis, which may indicate ascites.
B. Notify the physician about the findings.
C. Note the time when the patient last voided.
D. Document the findings as hyperactive bowel sounds.
Answer: B
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The nurse who is teaching the caregivers of children who are going to be skin tested for allergies will teach them to avoid giving the child which of the following medications for several days to weeks before the test?
a. Tylenol and like products c. antacid medications b. antihistamines d. vitamin supplements
A nurse is preparing to administer an as-needed (PRN) medication. Which of the following would the nurse need to keep in mind when documenting administration?
A) It requires a separate entry that includes reason for administration, dosage, route, and response to the medication the first time it is administered to a client. B) It requires a separate entry that includes reason for administration, dosage, route, and response to the medication every time it is administered to a client. C) It requires a separate entry that includes reason for administration, dosage, and route the first time it is administered to a client. D) It requires a separate entry that includes reason for administration, dosage, and route every time it is administered to a client.
The nurse is preparing to assess vital signs. Which vital sign would the nurse assess first?
A) Temperature B) Pulse C) Respiration D) Blood pressure
A type 2 diabetic is ordered metformin (Glucophage) as part of the management regime. Which is the best nursing explanation for the action of this drug in controlling glucose levels?
A) Delays digestion of carbohydrates B) Helps tissues use insulin more efficiently C) Stimulates insulin release D) Reduces the production of glucose by the liver