Which assessment finding by the nurse is the most significant finding suggestive of aortic aneurysm?
A) High blood pressure
B) Severe back pain
C) Abdomen bruit
D) Nausea and vomiting
C
Feedback:
A pulsating mass or a bruit in the abdomen over the mass is most suggestive of aortic aneurysm. Severe back pain, nausea, and high blood pressure are all symptoms associated with aortic aneurysm but not as independently suggestive.
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If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rates in which quadrant of the maternal abdomen?
a. Right upper b. Left upper c. Right lower d. Left lower
When performing a piggyback infusion, the nurse lowers the container of primary solution ~10 in. below the height of the secondary solution. Which of the following reasons explains the nurse's action?
A) Instills secondary infusion within specified time B) Uses gravity to infuse the secondary medication C) Regulates the rate of medicate infusion D) Prevents separation from the port
A client asks the nurse why she was raped. The nurse understands that the underlying issue of most rapists is:
1. A desire to overpower and control. 2. An uncontrollably strong sex drive. 3. A desire to play out fantasies. 4. The inability to control intense anxiety.
Of the doses on hand, you would choose ____________________ to administer the dose ordered
Ordered: Demerol 50 mg PO q3h prn. A. Demerol 100 mg tablets B. Demerol injection 75 mg/mL C. Demerol 50 mg tablets D. Demerol injection 50 mg/mL