A nurse auscultates the right carotid artery in an older adult client and identifies a bruit. What does this assessment finding mean?
A) It is normal.
B) It is distended.
C) It is dissecting.
D) It is inflamed.
Ans: B
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Bruits occur when the artery is partially obstructed or distended, which prevents blood flow from moving straight through the vessel.
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A nurse observes an acutely psychotic client scratching at his arms with his fingernails until his arms bleed. When asked what is happening, the client states he is trying to let the evil spirits out of his body
He is easily redirected by the nurse, but resumes scratching when the nurse leaves his side. The nurse orders 1:1 supervision of the client to keep him from harming himself. Which principle of bioethics was applied in this situation? 1. Justice 2. Fidelity 3. Beneficence 4. Veracity
The nurse is caring for a patient with metastatic bone cancer. The patient asks the nurse why he has had to keep getting larger doses of his pain medication and it doesn't seem to affect him. What is the nurse's best response?
A) "Over time, you become more tolerant of the drug." B) "You are immune to the effects of the drug." C) "You may have formed an addiction to the drug." D) "Your body absorbs less of the drug due to the cancer."
The nurse is teaching a client about the effects of taking in increased amounts of sodium. The nurse explains that a hypertonic solution results from excessive intake of sodium, which causes the cells of the body to:
1. neither gain nor lose water. 2. absorb water, swell, and, eventually burst. 3. lose water and shrink. 4. leak out of the area they are in.
The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to discover premalignant or malignant cells is called:
1. a bimanual palpation. 2. a rectovaginal palpation. 3. a Papanicolaou smear. 4. a four A's procedure.