During the physical examination of the abdomen, the nurse palpates a mass in the patient's right lower quadrant. The nurse suspects that this mass could be associated with which organs? (Select all that apply.)
A) Appendix
B) Bladder
C) Ascending colon
D) Right kidney
E) Transverse colon
A, B, C
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The nurse is caring for an infant who is admitted for possible pyloric stenosis. When assessing the infant, which actions are appropriate?
Select all that apply. A) Observe the infant's abdomen. B) Auscultate bowel sounds. C) Provide oral feeding. D) Palpate the right upper quadrant of the abdomen. E) Pass a nasogastric tube.
The nurse visits the foster home of a newborn with failure to thrive syndrome. Which observation indicates a successful outcome for this child's care?
A) Birth mother has stopped visiting the child. B) Birth father comes by the home to bring toys. C) Child eagerly takes a bottle and is gaining weight. D) Child is crying and has bruises over the lower legs.
After being hit by an automobile, a patient tells the nurse that he lay on the pavement until the ambulance arrived and was thinking about how his wife would continue to survive without him
Which of the following is the best action by the nurse to help this patient with the crisis? 1. Offer to contact his wife to explain where he is and what his condition is. 2. Provide the patient with a telephone so he can contact his wife. 3. Tell the patient that once his injuries are stabilized, someone will contact his wife. 4. Suggest that the patient should not worry about anything.
In a neutral thermal environment, the newborn infant's axillary temperature should remain:
a. At least at 35.5° C (96.0° F) b. Between 36.5° and 37.5° C (97.7° and 99.5° F) c. At 37.0° C (98.6° F) d. Above 36.6° C (98° F)