The nurse observes a patient rocking back and forth on the examination table in pain. Based on the patient's history, the nurse suspects kidney stones. What additional examination technique does the nurse perform to confirm this suspicion?
a. Palpating the flank area for rebound tenderness
b. Percussing the bladder for fullness
c. Percussing the costal vertebral margins for tenderness
d. Palpating McBurney point for tenderness
ANS: C
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A seriously mentally ill woman has frequent relapses of her illness, usually precipitated by situational stressors such as running out of money or the vacations of key staff members at her mental health center. Which interventions would her nurse suggest to keep stressors from causing relapses?
a. Help the patient identify and anticipate events that are likely to overwhelm her. b. Guide her to develop written crisis plans that will help her remember what to do in crises. c. Apply for a court-appointed guardian to take charge of her affairs until she stabilizes. d. Encourage health-promoting activities such as exercise and getting adequate rest. e. Discourage potentially stressful activities such as groups or volunteer work. f. Accompany the patient to a National Alliance on Mental Illness support group.
The nurse is preparing to apply a transdermal analgesic patch to a patient. In what order should the nurse administer this medication?
Choice 1. Choose a new site and cleanse and dry an upper torso location. Choice 2. Clip chest hair and open the medication package. Choice 3. Keep the patch intact for 72 hours. Choice 4. Place the patch, making sure all edges are in contact with the skin.
After teaching a group of students about health literacy and the skills associated with it, the instructor determines that the teaching was successful when the students identify which ability as a necessary skill? Select all that apply
A) Understand visual information B) Locate health information C) Make decisions D) Read at a college level E) Apply relevant information
A preoperative client expresses anxiety to a nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?
a) ""If its any help, everyone is nervous before surgery"" b) ""I will be happy to explain the entire surgical procedure to you"" c) ""Can you share with me what you've been told about your surgery?"" d) ""Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate""