Which symptom indicates a need for immediate intervention in a client with a rolling hernia?
a. Reflux
b. Crackles in the lungs
c. Distended and firm abdomen
d. Two episodes of diarrhea
C
A rolling hernia causes the fundus and portions of the stomach's greater curvature to roll into the thorax next to the esophagus, predisposing the client to volvulus, obstruction, and strangulation. A firm, distended abdomen may indicate a bowel obstruction. This is a serious situation and the provider must be notified immediately. Crackles and diarrhea also warrant intervention, but not as a priority. Reports of reflux would be the lowest-level priority.
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The nurse works in a small hospital that uses narrative documentation rather than computer documentation. The nurse makes a practice of documenting care only at the end of the shift, just before giving shift report
Which aspect of documentation credibility does this most clearly violate? 1. It is contemporaneous. 2. It is accurate. 3. It is truthful. 4. It is appropriate.
The nurse instructs an older client with asthma about use of a peak flow meter. The nurse instructs the client to use the meter at which times? Select all that apply.
1. After eating dinner in the evening 2. If feeling like cold symptoms are occurring 3. If wheezing or tightness in the chest occurs 4. In the morning after awakening and in the early afternoon 5. Every day for the first two weeks after medication changes
In Eastern medicine, illness and disease are viewed as which of the following? Select all that apply
1. Balance of energy in the body 2. A defect of energy in the body 3. Functional changes in the body 4. An energy imbalance in the body 5. Disharmony of energy in the body
Which is the first step when teaching a patient to perform a breast self-examination?
1) Using the pads of the fingers to palpate the breast symmetrically 2) Compressing the nipple looking for discharge 3) Inspecting the breasts in the mirror 4) Reporting any redness or inflammation