The nurse identifies jaundice in an assigned client. Which assessment technique is the nurse using?
A) Inspection
B) Palpation
C) Auscultation
D) Percussion
A
Feedback:
Inspection is the systematic and thorough observation of the client and specific areas of the body. Palpation is assessing the characteristics of an organ or body part by touching and feeling it with the hands or fingertips. Auscultation involves listening with a stethoscope for normal and abnormal sounds generated by organs and structures such as the heart, lungs, and intestines. Percussion is tapping a portion of the body to determine whether there is tenderness or to elicit sounds that vary according to the density of underlying structures.
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The mother of a 3-year-old expresses concern about her daughter's slowed growth rate. What would be the most informative response by the nurse?
a. "Three-year-olds have typically finished a growth spurt, and you may notice a decreased rate in your daughter's growth." b. "Children's growth is hereditary. She may be of small stature like you." c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?" d. "Your daughter is healthy and happy. Don't worry about her growth right now."
A nurse caring for a patient with Paget's disease is analyzing the patient's laboratory values. Which of the following values is most often seen in a patient with Paget's disease?
A) An elevated serum alkaline phosphatase level and elevated serum calcium levels B) A low serum alkaline phosphatase level and a low serum calcium level C) An elevated serum alkaline phosphatase level and a normal serum calcium level D) A normal serum alkaline phosphatase level and a low serum calcium level
A nurse is sitting in a community clinic and chatting with a South American patient. He reports that other members of the community are rude to him and his family and act as if he and his family are not part of the community
He mentions that this is a common experience among the South American population living in town. The nurse knows that: A. This likely plays no role in his health or health status. B. This family is being stigmatized. C. The family needs to focus on bonding with their South American community. D. Marginalization can lead to increased vulnerability and health disparities.
Why do nursing students study violent behavior?
a. Americans are fascinated by stories about violence. b. Many nursing students are from families with a history of violence. c. The media often portrays heroes who use violence to win. d. Violence resulting in injury affects the whole community.