The nurse auscultates 20 clicks and gurgles over 1 minute when examining a patient's abdomen. How should the nurse document this finding?
A) Bowel sounds normal
B) Bowel sounds hyperactive
C) Bowel sounds hypoactive
D) Bowel sounds inconsistent
A
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The nurse is planning patient teaching for a patient who is scheduled for an open hemicolectomy. The nurse intends to address the topics of incision splinting and leg exercises during this teaching session
When is the best time for the nurse to provide teaching? A) Upon the patient's admission to the postanesthesia care unit (PACU) B) When the patient returns from the PACU C) During the intraoperative period D) As soon as possible before the surgical procedure
The nurse is screening children before they enter preschool. The expected visual acuity at this age is:
A) 20/20, B) 20/40, C) 20/60, D) 20/100,
The hospitalized patient complains of pain in the right calf. The nurse notices red streaks along the leg, and it is warm and swollen. The nurse suspects:
A) Arterial insufficiency. B) Venous insufficiency. C) Thrombophlebitis. D) Buerger's disease.
A nurse is planning milieu therapy for clients. Which statement accurately reflects the principles of milieu therapy?
A) A structured program of activities is in place to meet each client's specific needs. B) Unit responsibilities are divided equally among all clients. C) An autocratic form of government exists, with staff assuming authority. D) The individual is the sole focus of therapy.