A nurse is preparing to assist the physician in performing an internal gynecological examination of a client. In which of the following positions does the nurse place the client for this examination?
A. Prone
B. Left side-lying
C. Sims
D. Lithotomy
Ans: D. Lithotomy
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The client receiving intraperitoneal (IP) therapy for ovarian cancer has abdominal pain, rigidity, and rebound tenderness. What is the nurse's best first action?
A. Remove the IP catheter. B. Take the client's temperature. C. Document the findings as the only action. D. Culture the skin around the catheter exit site.
What would be considered normal vital signs for a newborn 1 hour after birth?
a. HR 80 beats/minute, RR 40 breaths/minute b. HR 110 beats/minute, RR 20 breaths/minute c. HR 140 beats/minute, RR 50 breaths/minute d. HR 180 beats/minute, RR 70 breaths/minute
The tip of the enema tubing should be inserted into the anus
A. 1 to 2 inches. B. 2 to 6 inches. C. 2 to 4 inches. D. 6 to 8 inches.
The nurse is caring for a group of patients on a medical-surgical unit. For which patients would the nurse anticipate the need for intravenous fluid therapy to correct fluid depletion?
1. A patient suffering from constipation 2. A patient exhibiting nausea and vomiting following a surgical procedure 3. A patient with a severe burn 4. A patient with congestive heart failure with edema to the lower extremities and rales 5. A patient with uncontrolled diabetic ketoacidosis