The nurse is palpating a client's kidneys. The client's right kidney is easily palpated, but the nurse cannot palpate the left kidney. What is the nurse's interpretation of this finding?
a. The problem involves the right kidney.
b. The problem involves the left kidney.
c. Both kidneys are in the normal position.
d. The client is at increased risk for kidney impairment.
C
Normally, the left kidney is situated more deeply, and often it cannot be palpated. This is a nor-mal finding.
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The nurse listens to the following parent–child interaction:
1. Authoritative 2. Authoritarian 3. Permissive 4. Mixed
A common method for estimating gestational age of a newborn is to assess:
a. middle finger length. b. creases on the sole of the foot. c. umbilical placement. d. visual acuity.
The nurse is caring for a 78-year-old patient who was hospitalized 2 days earlier with community-acquired pneumonia. Which assessment information is most important to communicate to the health care provider?
a. Scattered crackles bilaterally in the posterior lung bases. b. Persistent cough that is productive of blood-tinged sputum. c. Temperature of 101.5° F (38.6° C) after 2 days of IV antibiotic therapy. d. Decreased oxygen saturation to 90% with 100% O2 by non-rebreather mask.
During a sitz bath, the blood flow increases to the pelvic area. The nursing assistant should observe the patient in a sitz bath for
A. Faintness. B. Drowsiness. C. Weakness. D. All of these.