27. The nurse is auscultating a client's abdomen for bowel sounds. No sounds have been detected...
27. The nurse is auscultating a client's abdomen for bowel sounds. No sounds have been detected for 1 minute. What should the nurse do next in this situation?
A. Document “bowl sounds absent”. B. Call the physician immediately. C. Continue listening for an additional 4 minutes D. Document this finding as normal
Homework Answers
27. Option C is correct as in this case it is recommended to continue listening of bowel sounds for an additional 4-5 minutes .
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27. The nurse is auscultating a client's abdomen for bowel
sounds. No sounds have been detected...
The nurse auscultated the client’s abdomen for bowel sounds and documented them as hypoactive ? A....
The nurse auscultated the client’s abdomen for bowel sounds and documented them as hypoactive ? A. The bowel sounds are absent B. This is a normal finding C, Rare bubbly, blowing sounds of less than 5 minute D, Frequent, high pitched , tinkling sounds , more than 20 minutes . A nurse is assessing the chest size, how would the nurse document an abnormal diameter A. Transverse to anterior -posterior 2:1 B. Transverse to Anterior -posterior 1:1 C. Anterior...
how could the nurse document the palpation of the radial pulse A. Rhythm 100 beats per...
how could the nurse document the palpation of the radial pulse A. Rhythm 100 beats per minute B. Irregular rhythm C. Rhythm noted at 2+ D. Bounding rhythm . The nurse auscultated the client’s abdomen for bowel sounds and documented them as hypoactive ? A. The bowel sounds are absent B. This is a normal finding C, Rare bubbly, blowing sounds of less than 5 minute D, Frequent, high pitched , tinkling sounds , more than 20 minutes...
please can someone answer the questions now 7. Upon entering the client's room, a nurse asks...
please can someone answer the questions now
7. Upon entering the client's room, a nurse asks the client to turn down the volume of the television The nurse's request was intended to A create a quiet environment. B. control the client's behavior. C. manipulate the client's responses D uphold unit policy. ST NAME Anurse is reviewing data collected after conducting a health assessment. Which of the following would be considered related cues that would be clustered together during data analysis?...
can someone please answer the questions now JA 11 25. The nurse knows that the second...
can someone please answer the questions now
JA 11 25. The nurse knows that the second heart sound, S2, accompanies the closure of which valves? A. Aortic and Mitral B. Pulmonic and Aortic C. Mitral and Tricuspid D. Tricuspid and Aortic 26. Upon admission, a nurse obtained a client's pulse rate and noted an irregular pulse rhythm. The nurse's next action should be to A. document the finding in the client's chart. B. ask if the client had recently exercised....
A client has been admitted to the Ambulatory Surgery Department and will be having an elective...
A client has been admitted to the Ambulatory Surgery Department and will be having an elective procedure chis morning. While completing the admission assessment, the nurse finds the following: . no known drug allergies • Take Advil twice daily • Allergic co pitted fruits • has had seven surgeries in the past 10 years is a technician in a dental office • develops a rash if wears antiembolism hose The nurse: 1. Removes all non-latex produces from the client's room...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and...
19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and sees the child's mother starting to place hot, wet washcloths on her daughter's abdomen so that "she will feel better."The nurse explains that this action is contraindicated because heat a. Can cause the appendix to rupture and cause peritonitis b. Can mask symptoms of acute appendicitis c. Will increase peristalsis throughout the abdomen d. Will arrest progression of the disease 20. A client is...
al. A nurse is assigned to four dients who have been d ulcers. Which one of...
al. A nurse is assigned to four dients who have been d ulcers. Which one of these clients should the nurse conclude is most at develop gastrointestinal (GI) bleeding? A. A 40-year-old dient who is positive for Helicobacter pylori (H. py lori) coronary ylenol) as nee B. A 45-year-old client who drinks 4 ounces of alcohol a day A 70-year-old client who takes aspirin 81 mg daily to pre artery disease D. A 30-year-old pregnant client who uses acetaminophen (T...
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct...
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct the client to A. Exhale slowly C. stay very still B. Inhale and exhale quickly D. perform the valsava maneuvevr 29. While changing the taping of a tracheostomy tube, the male client coughs and the tube dislodges. The initial action is to A. Call the physician to reinsert the tube B. Call the respiratory therapy department to reinsert the tracheostomy C. Cover the tracheostomy...
A rinally ill patient is admitted to the hospital, which action should the nurse include in...
A rinally ill patient is admitted to the hospital, which action should the nurse include in the initial plan of care? A Determine the patient's wishes regarding end of life care B Emphasire the importance of addressing any families issues C. Discuss the normal grief process with the patient and family D. Encourage the patient to talk about any fears or unresolved issues 17. A patient's temperature has been 101 F (38.3 C. for several days. The patient's normal caloric...
please can someone answer the questions now
7. Upon entering the client's room, a nurse asks the client to turn down the volume of the television The nurse's request was intended to A create a quiet environment. B. control the client's behavior. C. manipulate the client's responses D uphold unit policy. ST NAME Anurse is reviewing data collected after conducting a health assessment. Which of the following would be considered related cues that would be clustered together during data analysis?...
can someone please answer the questions now
JA 11 25. The nurse knows that the second heart sound, S2, accompanies the closure of which valves? A. Aortic and Mitral B. Pulmonic and Aortic C. Mitral and Tricuspid D. Tricuspid and Aortic 26. Upon admission, a nurse obtained a client's pulse rate and noted an irregular pulse rhythm. The nurse's next action should be to A. document the finding in the client's chart. B. ask if the client had recently exercised....
A client has been admitted to the Ambulatory Surgery Department and will be having an elective procedure chis morning. While completing the admission assessment, the nurse finds the following: . no known drug allergies • Take Advil twice daily • Allergic co pitted fruits • has had seven surgeries in the past 10 years is a technician in a dental office • develops a rash if wears antiembolism hose The nurse: 1. Removes all non-latex produces from the client's room...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and sees the child's mother starting to place hot, wet washcloths on her daughter's abdomen so that "she will feel better."The nurse explains that this action is contraindicated because heat a. Can cause the appendix to rupture and cause peritonitis b. Can mask symptoms of acute appendicitis c. Will increase peristalsis throughout the abdomen d. Will arrest progression of the disease 20. A client is...
al. A nurse is assigned to four dients who have been d ulcers. Which one of these clients should the nurse conclude is most at develop gastrointestinal (GI) bleeding? A. A 40-year-old dient who is positive for Helicobacter pylori (H. py lori) coronary ylenol) as nee B. A 45-year-old client who drinks 4 ounces of alcohol a day A 70-year-old client who takes aspirin 81 mg daily to pre artery disease D. A 30-year-old pregnant client who uses acetaminophen (T...
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct the client to A. Exhale slowly C. stay very still B. Inhale and exhale quickly D. perform the valsava maneuvevr 29. While changing the taping of a tracheostomy tube, the male client coughs and the tube dislodges. The initial action is to A. Call the physician to reinsert the tube B. Call the respiratory therapy department to reinsert the tracheostomy C. Cover the tracheostomy...
A rinally ill patient is admitted to the hospital, which action should the nurse include in the initial plan of care? A Determine the patient's wishes regarding end of life care B Emphasire the importance of addressing any families issues C. Discuss the normal grief process with the patient and family D. Encourage the patient to talk about any fears or unresolved issues 17. A patient's temperature has been 101 F (38.3 C. for several days. The patient's normal caloric...
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