The nurse is assessing a client with peritonitis. Which of the following symptoms would the nurse observe in this client?
A) Bowel sounds are mild. C) Bowel sounds are hyperactive.
B) Bowel sounds are high-pitched. D) Bowel sounds are not present.
D
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The nurse is performing a cardiovascular assessment on an older client. Which of the following findings should be reported to the charge nurse?
1. Sparse hair growth on his lower extremities 2. Thin, pale facial hair 3. The presence of bruising on his upper extremities 4. A weak, thready, irregular pulse
An adolescent comes to the free clinic with complaints of allergic rhinitis. The adolescent asks the nurse what makes his nose get so stuffy. What is the nurse's best response?
A) "The inside of the nose swells because of the dialation of the blood vessels." B) "Allergies make the sinus' drain into the nasal passages and it stuffs them up." C) "The inside of the nose swells closed because of drainage from the sinuses." D) "Something in your body called leukotrienes."
In which order should the nurse assess a patient complaining of pain in both knees? Place in order of priority
Choice 1. measurement of muscle mass Choice 2. range of motion Choice 3. inspection Choice 4. palpation
The greatest risk for potential health problems occurs in which age group?
a. Newborn b. Toddler c. School-age d. Adolescence