You are working as a nurse practitioner in the Fast Track of the emergency room. A 76-year-old male presents with left upper quadrant abdominal pain. There can be many conditions that present as left upper quadrant pain, but which of the following is least likely to cause pain in the left upper quadrant?
A. Splenic abscess
B. Left pyelonephritis
C. Splenic rupture
D. Acute pancreatitis
D
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A nurse is performing an oral examination of a patient. Which of the following should she do as part of her examination?
A) Palpate the temporomandibular joint for mobility. B) Leave the patient's dentures in during the oral examination. C) Dim the lights to provide a calm environment for the patient. D) Recline the patient to the supine position.
An immigrant from China requires a colonic resection. He follows traditional Chinese health practices and is very anxious and reluctant regarding Western surgery. Which comment would most likely help reduce the patient's anxiety and reluctance?
a. "Surgery will help rebalance the yin and yang forces and return you to harmony.". b. "If you would like, we could use acupuncture for anesthesia or pain control.". c. "I know this is new to you, but you can trust us to take very good care of you.". d. "The surgery we are recommending will help you achieve final transformation.".
The population health nurse is reviewing the factors that contribute to chronic health problems with a group of community members. What should the nurse identify as the major factor?
1. Depression. 2. Anxiety. 3. Stress. 4. Social isolation.
While providing care for a patient with asthma, the nurse notes the patient's shoulders are rising with each breath. The nurse recognizes this action most likely represents which of the following?
a. Shoulder muscle fatigue related to difficulty breathing b. The use of accessory muscles to aid breathing c. Hyperinflation of the chest d. Effective use of a breathing exercise to increase ventilation