What instructions does the nurse give the patient before palpating the right supraclavicular lymph nodes?
a. "Lean your head backward and toward the right as far as comfortably possible."
b. "Lie supine and turn your head away from the right side."
c. "Draw up your shoulders forward, and flex your chin toward the right side."
d. "Sit up, raise both arms over your head, and flex your chin away from the right side."
ANS: C
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The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best guidance the nurse can offer them?
A) "Respond in a calm but firm manner." B) "You need to adhere to various routines." C) "Put her in time out when she misbehaves." D) "It's important to toddlerproof your home."
In caring for a client with severe hepatic abscess, the nurse would assess carefully for the common complication of
a. frequent diarrhea. b. increasing jaundice. c. increasing pruritus. d. pleural effusion.
The nurse is caring for an older adult client who complains that she has to take multiple medications at various times throughout the day. What is the most appropriate nursing intervention for the nurse to implement with this client?
a. Encourage family members or friends to monitor drug regimen. b. Explain the purpose, drug action, and importance of medication. c. Develop a chart indicating times to take drugs. d. Provide time for questions; reinforce with written information.
When discussing the benefits of physical activity and exercise with a client, the nurse identifies which of the following as a positive outcome to the client? (Select all that apply.)
1. Stress management 2. Enhanced cardiac output 3. Improved bone integrity 4. Facilitation of weight control 5. Increased cognitive function 6. Increased musculoskeletal flexibility