a nurse in an emergency department is assessing a client who reports right lower quadrant pain,...
a nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 he which of the following actions should the nurse take first
Homework Answers
A nurse can take first action of ausculating bowel sounds, that helps to identify the area where an obstructiojn may have occured. It is quite common to find one quadrant with hyperactive bowel sounds and one with none or hypoactive. Auscultation of bowel sounds is a quick and low-cost examination, and has been used for more than 150 years to assess various abdominal conditions.
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a nurse in an emergency department is assessing a
client who reports right lower quadrant pain,...
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting fo...
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first? Auscultate bowel sounds. Palpate the abdomen offer pain medication. Administer an antiemetic.
6. A nurse in emergency department is assessing a client in his right lower quadrant who...
6. A nurse in emergency department is assessing a client in his right lower quadrant who report nausea and vomiting for the first 48 hours, which of the following actions should the nurse take? Palpate the abdomen. Offer medication Administer antibiotic Auscultate bowel sound.
A nurse in the emergency department is assessing a client who has major depressive disorder. Which...
A nurse in the emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take first? (Exhibit) Encourage the client to verbalize feelings. Implement seizure precaution for the client. Administer ondansetron to the client for nausea. Obtain the client’s weight. A home health nurse is completing screenings for elder abuse during client visits. Which of the following findings should the nurse identify as an indication of potential elder abuse? A client...
12. A home care nurse is teaching a client about home safety. Which of the following...
12. A home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) I will use the bars when getting in and out of the bath tub I need to check my medications for expiration dates I need to have a fire escape plan with my family I will apply tape over frayed areas of electrical cords I need to set my hot...
. A nurse is assessing a client who has bipolar disorder and whose mother brought her...
. A nurse is assessing a client who has bipolar disorder and whose mother brought her to the emergency department. Which of the following is the highest priority finding? a. The client reports not attending group therapy. b. The client reports not taking medication for the past 2 weeks. c. The client speaks to the nurse in a demanding tone. d. The client reports sleeping 2 to 3 hr per night.
tion: 19-19 of 70 Page: 19 of 70 19 A nurse is assessing a client who...
tion: 19-19 of 70 Page: 19 of 70 19 A nurse is assessing a client who requires bed rest and finds a reddened area over the COCCYE Which of the following actions should the nurse take first? Place the client on a pressure-relieving bed. Determine whether the area blanches Encourage the client to report pain in the affected area. Remind the client to change positions often a
a client comes to the emergency department complaining of severe chest pain 6. A client comes...
a client comes to the emergency department complaining of
severe chest pain
6. A client comes to the emergency department complaining of severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating? A) Assessing B) Diagnosing C) Planning D) Implementing
13. A nurse is caring for a client who reports that he is angry with his...
13. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse and tells her to leave. Which of the following defense mechanism is the client demonstrating? attempts to talk to the client, he becomes angry a. Denial b. Displacement c. Compensation d. Rationalization 14. A charge nurse is discussing the care of a client who has a substance use disorder with...
1. A nurse is collecting data from a client who presents to the facility and reports...
1. A nurse is collecting data from a client who presents to the facility and reports vomiting. Which of the following findings indicates that the client is experiencing a fluid volume deficit? a. Brisk capillary refill b. Orthostatic hypotension c. Polyuria d. Bradycardia A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and will soon undergo a contraction stress test. Which of the following information should the nurse include in the teaching? a. We...
42. A nurse is assessing a client who has meningitis. The nurse should identify which of...
42. A nurse is assessing a client who has meningitis. The nurse should identify which of the following findings as a positive Kernig’s sign? A. After stroking the lateral area of his foot, the client’s toes contract and draw together. B. After hip flexion, the client is unable to extend his leg completely without pain. C. The client’s voluntary movement is not coordinated. D. The client reports pain and stiffness when flexing his neck.
6. A nurse in emergency department is assessing a client in his right lower quadrant who report nausea and vomiting for the first 48 hours, which of the following actions should the nurse take? Palpate the abdomen. Offer medication Administer antibiotic Auscultate bowel sound.
12. A home care nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply) I will use the bars when getting in and out of the bath tub I need to check my medications for expiration dates I need to have a fire escape plan with my family I will apply tape over frayed areas of electrical cords I need to set my hot...
tion: 19-19 of 70 Page: 19 of 70 19 A nurse is assessing a client who requires bed rest and finds a reddened area over the COCCYE Which of the following actions should the nurse take first? Place the client on a pressure-relieving bed. Determine whether the area blanches Encourage the client to report pain in the affected area. Remind the client to change positions often a
a client comes to the emergency department complaining of
severe chest pain
6. A client comes to the emergency department complaining of severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating? A) Assessing B) Diagnosing C) Planning D) Implementing
13. A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse and tells her to leave. Which of the following defense mechanism is the client demonstrating? attempts to talk to the client, he becomes angry a. Denial b. Displacement c. Compensation d. Rationalization 14. A charge nurse is discussing the care of a client who has a substance use disorder with...
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