A nurse is assessing the abdomen of a client who has suspected appendicitis and was admitted to the emergency room department.  In which area of the abdomen should the nurse palpate last?  a. Right upper quadrant  b. Left lower quadrant  c. Right lower quadrant  d. Left upper quadrant

While Administering an enema, the patient complains of abdominal cramps. Which of the following is the best action by the nurse? Answer Choices: a. Continue giving enema as abdominal cramping is a normal phenomenon. b. Slow down the rate of infusion c. Stop giving the enema d. Administer analgesics

A nurse is teaching a man scheduled to have same-daysurgery. Which teaching method would be most effectivein preoperative teaching for ambulatory surgery?a. Lectureb. Discussionc. Audiovisualsd. Written instructions

What consideration should the nurse keep in mind regardingthe use of side rails for a confused patient?a. They prevent confused patients from wandering.b. A history of a previous fall from a bed with raised siderails is insignificant.c. Alternative measures are ineffective to prevent wandering.d. A person of small stature is at increased risk for injuryfrom entrapment.

The nurse is caring for four clients on post-surgical unit. The nurse understands that monitoringthe client for which post-operative complication takes priority?a. Pneumoniab. Urinary retentionc. Constipationd. Nausea

The nurse is preparing to palpate the thorax and abdomen of a patient. Which of these statements describes the correct technique for this procedure?  A. Identify any tender areas and palpate them last. B. Warm the hands first before touching the patient. C. Use the palms of the hands to assess temperature of the skin. D. Start with light palpation to detect surface characteristics. E. For deep palpation, use one long continuous palpation when assessing the liver. F. Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps.

1. An elderly client had recent surgery and is on bed rest. When planning care for the client, which nursing intervention is included in the care plan? a. Daily assessment of the wound site b. Foot and ankle range-of-motion(ROM) exercises c. Wound cleaning with hydrogen peroxide d. Coughing and deep breathing in the prone position

An episiotomy is more likely to perform if/when...   Group of answer choices   A. The physician regularly performs them as part of their normal practice B. The epidural block fails C. The mother’s health is at risk D. The infant’s head and shoulders are too big

The nurse has informed the nursing assistant that a resident is dying. What is the best interpretation if the nursing assistant notes the resident is perspiring heavily and the client's skin feels cool and clammy? 1. Nervous system is failing. 2. Circulatory system is failing. 3. Diet does not suit. 4. Needs to be covered warmly.Correct answer

A nurse is providing oral hygiene for an unconscious client. What is the priority intervention?   a Handle dentures with care b Use gentle brushing and flossing techniques for the clients with fragile mucosa c Position the client on one side with head turned towards you d Have a suction apparatus ready at the bedside