A nurse listening with the bell of the stethoscope over the epigastric area of the abdomen of a healthy client normally will hear:
a. Bowel sounds.
b. Venous hum.
c. Aortic aneurysm.
d. No sounds.
ANS: D
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The nurse knows that which factors are the main differences between binge-eating disorder and bulimia nervosa? Select all that apply
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A nurse is caring for a patient who is postoperative from a neck dissection. What would be the most appropriate nursing action to enhance the patient's appetite?
A) Encourage the family to bring in the patient's favored foods. B) Limit visitors at mealtimes so that the patient is not distracted. C) Avoid offering food unless the patient initiates. D) Provide thorough oral care immediately after the patient eats.
The nurse is using the Simple Triage and Rapid Treatment (START) system to triage patients brought to the hospital after a tornado. Which triage designation has the nurse correctly assigned?
1. Red tag for a 67-year-old male complaining of chest pain; heart rate 120 beats/min, blood pressure 100/68 mmHg, respiratory rate 20 breaths/min 2. Red tag for a 27-year-old woman presenting with a respiratory rate of 36 breaths/min and capillary refill of 4 seconds 3. Yellow tag for a 58-year-old woman able to walk on her own and saying over and over, "I don't know what happened" 4. Red tag for a 30-year-old male with multiple chest trauma; respiratory effort minimal after airway is opened; carotid pulse faint
Which action by the nurse is appropriate when conducting a 24-hour dietary recall during the nutritional assessment process?
1) Asking the patient to recall everything eaten over the past 3 to 5 days 2) Asking the patient to record everything eaten or drunk during the last day 3) Using this method for a patient who is receiving chemotherapy 4) Using this method for a patient with severe burns