Which of the following is a classic symptom of cholecystitis?
a. Substernal, radiating to the left shoulder and arm
b. Epigastric, radiating to the back
c. Right upper abdomen, radiating to the back or right scapula
d. Left upper abdomen, radiating to the jaw and neck
ANS: C
It localizes in the right upper quadrant epigastric region. The pain radiates around the mid torso to the right scapular area.
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The nurse is preparing to assess a newborn's neurological status. Which finding would require an immediate intervention?
1. At rest, the infant has partially flexed arms and her legs drawn up to the abdomen. 2. When the corner of the mouth is touched, the infant turns her head that direction. 3. Blinking occurs when the exam light is turned on over the infant's face and body. 4. The right arm is flaccid while the infant brings her left arm and fist upwards to the head.
Parents are preparing their child for admission to the pediatric unit for minor surgery. What should they expect to see when visiting the pediatric unit? (Select all that apply.)
a. Nurses wearing all white b. Formal atmosphere c. Availability of a playroom d. Dim lighting e. Colored bedding
The same nursing documentation record is used in every unit of a hospital. Why does a hospital use a standardized form for nursing documentation? (Choose all that apply.)
a. Helps to provide continuity of care b. Standardizes patient care parameters c. Assists in maintaining confidentiality d. Reduces the number of medication errors e. Provides the foundation for staffing levels f. Allows for quality evaluations between units
Your grandmother calls to tell you about her neighbour, Norma, who recently had a stroke. She says the physician in the urgent care center at St. John's hospital saw Norma after she was brought in by a friend
Then Norma was transferred to a larger hospital (Holy Oaks Regional Hospital) where she had to have a "coiling thing" done. Your grandmother tells you that they don't do this type of procedure at their local hospital, "only in those big cities." Norma spent a couple of days there and then was transferred back to the hospital in the next town (Springfield Hospital) where they have special "brain doctors." Then they moved Norma back to the local hospital (St. John's Hospital) where they took care of her for two weeks. Now Norma is seeing Dr. Bradley in his office every week and has home care every day. What level of health care did Norma receive at each of the following places? a) St. John's Hospital b) Holy Oaks Regional Hospital c) Springfield Hospital d) Dr. Bradley's office