When assessing the abdomen, how long must the nurse listen to the abdomen to be able to accurately chart that bowel sounds are absent?
a. 30 seconds in each quadrant c. 3 minutes
b. 1 minute d. 5 minutes
D
Normal bowel sounds include high-pitched, gurgling sounds that occur approximately every 5 to 15 seconds or at a rate of 5 to 34 times per minute. Abnormal findings include the absence of bowel sounds throughout a 5-minute period, extremely soft and widely separated sounds, and increased sounds with a high-pitched, loud rushing sound (peristaltic rush).
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The nurse is explaining the normal conduction pattern of the heart to an adolescent with a newly diagnosed congenital heart anomaly. The nurse tells the patient that what serves as the pacemaker for the heart?
A) The atrioventricular (AV) node B) The bundle of His C) The Purkinje fibers D) The sinuatrial (SA) node
What are considered warning signs of suicide? (Select all that apply.)
a. Talking about suicide b. Increased interactions with friends and family c. Drug or alcohol abuse d. Difficulty concentrating on work or school e. Personality changes
The age range for late adolescence is:
a. 14–16 years. b. 16–18 years. c. 15–17 years. d. 18–20 years.
A licensed practical/vocational nurse cared for a client who was bedridden at his home. The nurse did not regularly turn the client, or provide care after the client was incontinent of urine and stool
The client developed a stage 3 pressure ulcer on his buttocks. He became very ill and had to be admitted to the hospital with sepsis (the infected pressure ulcer infection spread throughout the bloodstream). The client died. Which best describes what occurred? A) The nurse cared for the client in the particular situation the same way a prudent nurse would have. B) The nurse committed gross negligence as a result of not providing care a prudent nurse would have provided in the same situation. C) The nurse committed negligence because of not providing the care a prudent nurse would have provided in the same situation. D) The nurse intentionally physically abused the client, resulting in death, which constitutes murder.