Which finding on the abdominal exam would indicate the need for further evaluation?
1) A flat abdomen in a young adult patient within normal weight range for height
2) Visible peristalsis in a thin child
3) A slight pulsation in the epigastric region of an adult patient
4) Presence of spider angiomas on the abdomen
ANS: 4
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A client has returned from a transurethral resection of the prostate with a continuous bladder irrigation. Which action by the nurse is a priority if bright red urinary drainage and clots are noted 5 hours after the surgery?
a. Review the hemoglobin and hematocrit as ordered. b. Take vital signs and notify the surgeon immediately. c. Release the traction on the three-way catheter. d. Remind the client not to pull on the catheter.
A family systems theory that conceptualizes the family as an interactive emotional unit in which family members assume reciprocal family roles, develop automatic communication patterns, and react to each other in predictable,
connected ways, particularly when family anxiety is high, was created by a. Evelyn Duvall. b. Murray Bowen. c. McCubbin & McCubbin. d. Salvador Minuchin.
One of the most important tools for coping with the reality of a serious chronic disease such as cystic fibrosis is
a. having a sense of humor. b. avoiding talking about it. c. making friends only with others who have the same disease. d. making friends only with others who do not have the same disease.
The nurse assesses for diminished or absence sensation, numbness, and tingling on a child who has had a cast applied to treat a fracture. For what is the nurse monitoring?
A) Pain B) Pallor C) Paresthesia D) Paralysis