The abdomen should be auscultated for at least 5 minutes before determining that bowel sounds are absent
A) True
B) False
A
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The nurse has admitted a child with a cyanotic heart defect. The nurse would expect the initial lab result to show:
1. A high hemoglobin. 2. A low hematocrit. 3. A high white blood cell count. 4. A low platelet count.
The nurse is assessing the vital signs of a 3-year-old patient who appears to have an irregular respiratory pattern. How should the nurse assess this child's respirations?
a. Respirations should be counted for 1 full minute, noticing rate and rhythm. b. Child's pulse and respirations should be simultaneously checked for 30 seconds. c. Child's respirations should be checked for a minimum of 5 minutes to identify any variations in his or her respiratory pattern. d. Patient's respirations should be counted for 15 seconds and then multiplied by 4 to obtain the number of respirations per minute.
A patient recovering from knee surgery has a surgical infection. What findings indicate that the patient is experiencing a systemic reaction?
Select all that apply. 1. WBC 14,200 mm3 2. 10% bands 3. erythema 4. pain at the surgical site 5. respiratory rate of 16
A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? Select all that apply
a. Difficulty using a cell phone b. Long-term memory losses c. Fecal incontinence d. Rapid speech e. Trembling