A nurse is assessing a newborn and hears bowel sounds in the infant's chest area. What other finding should the nurse specifically assess for?
A.
Clubbed fingernails
B.
Cyanosis
C.
Genital abnormalities
D.
Normal stools
ANS: B
Bowel sounds in the thoracic cavity could indicate a congenital diaphragmatic hernia. The nurse should assess for other signs, including cyanosis, bradycardia, barrel chest, and scaphoid abdomen. The other findings are not related to this condition.
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A patient is receiving massage for chronic back pain. The nurse should explain to the patient that the massage therapy provides comfort by:
A) Stimulating the non-pain receptors B) Providing distraction from the pain C) Helping to reduce inflammation in the tissues D) Producing muscle relaxation
An emergency department nurse has transferred a patient to the radiology department for a CAT scan with contrast. The nurse hears a code called in the radiology room where her patient is having their CAT scan
A) A myocardial infarction B) A cerebrovascular accident C) An anaphylactic reaction D) A pulmonary emobolism
When using mediate or indirect percussion, which technique is appropriate?
a. Place the palmar surface of the nondomi-nant hand on the body surface, with the fingers held together. b. Place the palmar surface of the nondomi-nant hand on the body surface, with the fingers slightly spread apart. c. Place the ulnar surface of the nondomi-nant hand on the body surface, with the fingers together. d. Place the ulnar surface of the nondomi-nant hand on the body surface, with the fingers slightly spread apart.
A patient tells the nurse that it is important for him or her to be discharged soon, because it is expected that the family's needs be met. Which aspect of heritage consistency is this patient demonstrating?
1. Culture 2. Ethnicity 3. Religion 4. Acculturation