While assessing a patient with AAA, the nurse notes a pulsation in the upper abdomen slightly to the left of the midline between the xiphoid process and the umbilicus. What does the nurse do next?
a. Measure the mass with a ruler.
b. Palpate the mass for tenderness.
c. Percuss the mass to determine the borders.
d. Auscultate for a bruit over the mass.
Answer: d. Auscultate for a bruit over the mass.
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Which statement best describes the 3-year-old child?
a. Boisterous, tattles on others b. Aggressive, shows off c. Helpful, wants to assist with chores d. Talkative, inquisitive about the environment
What is the precaution to be taken when scheduling a cervical biopsy for a client?
A) The test should be scheduled 1 week after the menstrual cycle. B) The test should be scheduled 1 week before the menstrual cycle. C) The test should be scheduled 3 weeks after the menstrual cycle. D) The test should be scheduled 2 weeks after the menstrual cycle.
A new nurse is listing the interventions he should employ when caring for a client on thrombolytic therapy. Which nursing intervention is inappropriate for the client during thrombolytic therapy?
a. Monitor vital signs and reporting changes. b. Check for active bleeding for 24 hours after therapy. c. Inform the client that aspirin and NSAIDs may be taken for discomfort. d. Monitor electrocardiogram strips for cardiac dysrhythmias.
The family of an older Arab-American patient does not want the patient to be informed of a diagnosis of cancer. What should the nurse do?
a. Call a religious counselor. b. Respect the family's wishes. c. Insist that the family tell the patient about the diagnosis. d. Tell the patient anyway, because patients have a right to know. ___