When assessing the abdomen of a patient who has fluid in the peritoneal cavity, the nurse expects what change to occur when the patient turns from supine to the left side?
a. Movement of the tympanic tones from lateral in the supine position to closer to midline when lying on the left side
b. Movement of the dull tones from lateral in the supine position to closer to midline when lying on the left side
c. Change in bowel sounds from hypoactive in the supine position to hyperactive when lying on the left side
d. Change in bowel sounds from hyperactive in the supine position to hypoactive when lying on the left side
ANS: B
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The home care nurse is examining a newborn. The newborn is noted to be sleeping in a basket on a pillow with a stuffed animal, a fluffy blanket covering the infant. The most important nursing action is to:
1. Remove the stuffed animal from the basket and place it on the floor. 2. Teach the parents the risk of SIDS from soft items in the infant's bed. 3. Make certain that the blanket is firmly tucked under the baby. 4. Ask if the color of the blanket has cultural significance.
How does co-dependence relate to nursing?
a. It is a necessary quality to develop a mutually rewarding relationship with the patient. b. It is potentially destructive, because the nurse's co-dependency may prevent meeting the patient's needs. c. Co-dependent nurses find nursing a healthy way to expand on nursing learned during school. d. Co-dependency is the long-term goal of nursing instructors for nursing students.
Rural residents prefer and usually seek help through:
1. Civic clubs 2. Mental health clinics 3. Social service agencies 4. Health departments
A nursing intervention to assist the client with a nursing diagnosis of sleep pattern disturbance related to the loss of spouse and fear of nightmares should be to:
1. Administer sleeping medication per order 2. Refer the client to a psychologist or psychotherapist 3. Have the client complete a detailed sleep pattern assessment 4. Sit with the client while encouraging verbalization of feelings