During assessment of a patient who is new to the critical care unit, the nurse observes perianal ecchymosis. The nurse suspects the patient has a
a. pelvic fracture. c. rectal laceration.
b. bladder trauma. d. spleen laceration.
A
Signs of pelvic fracture include perianal ecchymosis (scrotum or vulva) indicating extravasation of urine or blood, pain on palpation or "rocking" of the iliac crests, lower limb paresis or hypesthesia, and hematuria. A large percentage of bladder injuries result from pelvic fractures. Physical findings may include lower abdominal bruising, distention, and pain. More definitive findings include difficulty in voiding or incomplete recovery of irrigation fluids from catheterized patients.
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Indicate whether the statement is true or false
The nurse would expect that a client diagnosed with arthritis will be prescribed which of the following medications?
1. Albuterol 2. Furosemide 3. Ibuprofen 4. Nortriptyline
Which of the following statements is a guideline to help nurses avoid liability?
A. Follow all physician's orders. B. Do what the client desires even though the nurse may disagree. C. Practice within the scope of the Nurse Practice Act. D. Obtain malpractice insurance.
For a thoracentesis, a client is usually placed:
A. In a dorsal recumbent position B. Supine with the arms over the head C. In Sims' position on the affected side D. Sitting and leaning over a bedside table