A patient presents to the emergency department with a suspected abdominal aortic aneurysm (AAA). The nurse assesses the patient for which classic manifestation of AAA? a) Pulsatile abdominal mass b) Hematuria and flank pain c) Absence of bowel sounds d) Hypoactive deep tendon reflexes
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A patient presents to the emergency department with a suspected abdominal aortic aneurysm (AAA). The nurse assesses the patient for which classic manifestation of AAA? a) Pulsatile abdominal mass b) Hematuria and flank pain c) Absence of bowel sounds d) Hypoactive deep tendon reflexes
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- A patient presents to the emergency department with a suspected pneumothorax. The nurse assesses the patient for which classic signs and symptoms of pneumothorax? a) Hypertension and tachycardia b) Hyperresonance to percussion and decreased breath sounds on the affected side c) Bradycardia and diminished bowel sounds d) Cyanosis and elevated temperatureWhen performing a neurological assessment on a patient with a suspected stroke, the nurse assesses for: A) Bradycardia B) Hypertonicity C) Increased bowel sounds D) Contralateral weakness or paralysisA client fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include a) hyperactive bowel sounds. b) elevated temperature and presence of erythema at incision site. c) ecchymosis and edema at incision site. d) complaints of activity intolerance. asap please.
- For a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the dayA patient with a history of myocardial infarction complains of chest pain radiating to the left arm. Which action should the nurse take first? a) Administer oxygen b) Obtain an ECG c) Administer aspirin d) Administer nitroglycerin.Which finding indicates a potential complication in a patient with a lower leg cast? a) Mild swelling of the toes b) Capillary refill less than 2 seconds c) Complaints of numbness and tingling in the toes d) Warmth and dryness over the casted area
- Following abdominal surgery, a patient reports sudden onset of sharp, stabbing chest pain that worsens with deep breathing. The nurse observes that the patient is tachypneic, appears anxious, and has a low-grade fever. Based on these symptoms, which of the following complications should the nurse suspect first?A) AtelectasisB) Pulmonary embolismC) Wound infectionD) Myocardial infarctionAs a nursing student, what are the common experiences with ongoing management of an intrvenous line in the clinical setting?A nurse is assessing a client with the internal(intestinal) obstruction which of the following would the nurse expect when viewing lab information? SATA a) Increased Hematocrit b) Loss of electrolyte c) Emesis of fluid d) Fluid overload e) Accumulation of the fluid below the obstruction 59. A nurse is caring for a child that has acute cholecystitis which of the following should the nurse anticipate when viewing the client's chart? a) Increase white blood cell count. b) Normal liver function c) Decrease temperature. d) Decrease white blood cell count. 61. Which technique should the nurse when assessing the dorsalis pedis a) Cover your finger around the medialis b) Press deeply with two fingers c) Press firmly …… d) Use a very light touch 65. Which site is appropriate for palpation for the popliteal pulse? a) At the wrist b) In front of the ear c) Below the knee d) At the inner thigh
- The nurse will monitor the patient who is taking a muscle relaxant for which adverse effect?a )CNS depressionb) Hypertensionc) Peripheral edemad )Blurred visionA 50-year-old female patient, Mrs. Smith, who recently underwent abdominal surgery, is reluctant to ambulate due to pain. She has a history of deep vein thrombosis and is currently on anticoagulant therapy. Her pain score is 6/10 on the numeric rating scale. Options: a) Encourage bed rest until pain subsides. b) Administer prescribed pain medication and assist with ambulation. c) Apply a cold compress to the surgical site. d) Increase the dose of anticoagulant therapy.A CST is assisting the surgeon on the midline closure of an episiotomy. The surgeon says, “Something’s wrong, but I can’t identify it.” The CST replies, “I’m worried also. Do you think she might have DIC (disseminated intravascular coagulopathy)?” The surgeon responds, “Why do you think that?” and the CST says, “I’ve seen this before, and the blood doesn’t look right. I placed some of the patient’s blood in a plain test tube 7 minutes ago, and no clot has formed.” The surgeon has the circulator page the attending obstetrician to the room and alerts the anesthesia care provider. The patient became slightly hypotensive, but the quick response of the OR team averted any serious complications. The patient was discharged several days later without further complications. What observation did the CST make that helped the patient in this case? Discuss whether the CSTs response was appropriate in this situation.