Your patient demonstrates positive shifting dullness on percussion of the abdomen. This is indicative of:

A. Cholecystitis
B. Appendicitis
C. Ascites
D. Hepatitis


ANS: C
To assess the patient for ascites, test for shifting of the peritoneal fluid to the dependent side by rolling the patient side to side and percussing for dullness on the dependent side of the abdomen.

Nursing

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What assessment question best addresses the possible etiology of this patient's presentation? A) "How many alcoholic drinks do you typically consume in a week?" B) "To the best of your knowledge, are your immunizations up to date?" C) "Have you ever worked in an occupation where you might have been exposed to toxins?" D) "Has anyone in your family ever experienced symptoms similar to yours?"

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________________________ PHRs are extensions of physicians' offices

Fill in the blank(s) with correct word

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A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs. There are small, punctate red lesions that the patient says itch "like crazy." Which is the most likely cause and the best nursing action?

a. Senile purpura, and employs skin tear precautions b. Scabies, and employs Standard Precau-tions c. Senile itch, and employs use of emollient d. Allergy, and employs focused assessment for cause

Nursing

Which is the most commonly used method in completed suicides?

a. Firearms b. Drug overdose c. Self-inflected laceration d. Carbon monoxide poisoning

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