The nurse is preparing to conduct an abdominal assessment on a client and realizes that this assessment should be performed in the order of:
1. inspection, palpation, auscultation, and percussion.
2. inspection, auscultation, percussion, and palpation.
3. auscultation, palpation, percussion, and inspection.
4. percussion, palpation, inspection, and auscultation.
2
The order of abdominal assessment is inspection, auscultation, percussion, and palpation. Auscultation is performed second because palpation and percussion can alter bowel sounds. The other choices list the incorrect order for conducting this assessment.
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An appropriate goal for a patient with a diagnosis of social isolation is:
a. the patient will participate in cognitive exercises. b. the patient will interact with other residents during activities. c. the patient will communicate basic needs through use of photos. d. the patient will remain within the unit while in long-term care.
Which of the following medications would generally NOT used to treat anxiety? (Select all that apply)
A. Haloperidol B. Carbamazepine C. Buspirone D. Alprazolam E. Clonidine F. Lorazepam
The nurse is caring for a patient receiving benzodiazepine intermittently. The nurse understands that the best way to administer such drugs is to:
a. administer around the clock, rather than as needed, to ensure constant sedation. b. administer the medications through the feeding tube to prevent complications. c. give the highest allowable dose for the greatest effect. d. titrate to a predefined endpoint using a standard sedation scale.
Leaving an unconscious patient exposed during a treatment or procedure is a violation of the ethical principle of
a. fidelity. b. autonomy. c. justice. d. veracity.