To inspect the abdominal muscles, ask the:
a. supine patient to raise their head.
b. standing patient to bend forward.
c. prone patient to raise their lower legs.
d. standing patient to stand on tiptoes.
A
Asking the supine patient to raise their head will contract the rectus abdominis muscles, which produces muscle prominence, making abdominal wall masses visible.
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The ED triage nurse identifies the client who can have treatment delayed for a few hours as the client with a
a. avulsed (knocked-out) tooth. b. broken finger. c. head injury from a fall. d. large laceration that needs suturing.
During a routine physical assessment, the nurse obtaining a health history notes that a 50-year-old female patient reports pain and redness in the right breast. Which action is best for the nurse to take in response to this finding?
a. Assess the patient as thoroughly as possible. b. Explain to the patient that breast tenderness is normal at her age. c. Tell the patient that redness is not a cause for concern and is quite common. d. Inform her that redness is the precursor to normal unilateral breast enlargement.
A student asks the healthcare professional to explain reperfusion injuries. What explanation by the professional is best?
a. Tissue damage that can occur with blood transfusions b. Tissue destruction during rewarming in frostbite c. Damage from restored blood flow and exposure to oxygen d. Fluid overload from intravenous therapy that is too rapid
Which strategy should the nurse incorporate in the nursing care plan for a client with generalized anxiety disorder?
1. Tell the client to calm down when anxiety is apparent 2. Encourage the client to discuss painful childhood issues 3. Teach the importance of limiting caffeine, nicotine, and CNS stimulants 4. Inform the client that he will need to remain calm if he wishes to attend group therapy