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1.What questions do you ask during an abdominal assessment?
2. What are the 4 parts in order for abdominal assessment?
3. What does no bowel sounds indicate?
4. How do you assess the genitourinary system?
5. Which part of the genitourinary system regulates blood pressure?
6. What assessments are important to include in a GU focused assessment?
7. How do you assess breasts and axilla?
8. Why do we need to examine the underarms when performing breast examination?
9. What are the important steps of self breast examination?
10. What would you do if you made a mistake that no one else noticed?
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- 11. The nurse has begun a client's assessment and is applying the blood pressure cuff on a client's arm. Which action would be most appropriate? A. The cuff is wrapped loosely around the arm. B. The cuff is placed about 1 in above the antecubital area. C. The bladder inside the cuff encircles 50% of the arm circumference. D. The nurse can fit three to four fingers under the inflated cuff. Explain each choices why it is and why it is not the answerWhat is the importance of history taking for abdomen assessment? please answer it in a paragraph1. The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the BEST understanding of the nature of the surgery if the client makes which of the following statements? a."I will need to drain the pouch regularly with a catheter." b."I will be able to pass stool from my rectum eventually." c."The drainage from this type of ostomy will be formed." d."I will need to wear a drainage bag for the rest of my life." 2. After ileostomy surgery, the nurse assesses the abdomen of the patient and notices that the stoma is purplish red. The nurse should: a.Report this finding to the surgeon immediately b.Apply warm soaks to the stoma to improve circulation c.Reassure the patient that this is the normal color. d.Watch the stoma for any further changes in color 3. Which client would be MOST likely to have the diagnosis of diverticulosis? a.A 40-year-old male with a family history of diverticulosis. b.A 65-year-old…
- 1. What are the responsibilities of the Healthcare team in the Intra Operative period? 2. What are the responsibilities of the Healthcare team in post-operative period?The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess? A Frequent burping accompanied by poor feeding. 8 Stool that consists of mucus and blood. C Rebound tenderness in the left lower abdominal quadrant. D Olive-size mass in the epigastric aga.The practical nurse (PN) is participating in a health promotion program for a group of adults at a health fair about life style choices. Which information is most important for the PN to emphasize? A Perform monthly self examination of breasts and testes. B Eat a diet high in fruits, vegetables, and whole grains. C Completely stop the use of cigarette and tobacco products.D Avoid the midday sun and use sunscreen.
- 1. What are some complications to observe for and how to assess for them on a Ceserean section baby? 2. What might the nurse need to teach the mother about after having a Ceserean section? 3. What are 4 nursing Diagnoses for this Patient/Family?3.While palpating a client’s upper quadrant, the nurse would expect to find which of the following structures? a. Sigmoid colon b. Appendix c. Spleen d. Liversearch for what is perinatal assessment lmp, aog and edc
- 1). You are working on the post anesthesia care unit and caring for a client 1 hour after bowel surgery. They rate their pain a 7 on a scale of one to ten at the incision site. The pain is described as a sharp, aching sensation. Your client has not eaten any food yet, and is slightly nauseated. She is currently on 2 liters of oxygen via nasal cannula and is saturating at 95%. You review the healthcare provider’s orders and find the following:Hydrocodone/Acetaminophen 5/325 PO every 4-6 hours PRN 2-5 mg Morphine sulfate IV every 1-2 hours PRNAcetaminophen 1,000 gram IV every 6 hours PRNValium 5-10 mg IV every 2 6 hours PRNa. Which medication is the best selection?b. In regards to the analgesic, what is your priority to assess? c. If you administered the medication at 09:05, at what time should you reassess the patient’s pain level? B). You reassess your client and find them difficult to arouse, pupils are pinpoint and non-reactive, and their oxygen saturation is 79% on the 2 liters…When the nurse is talking with a client who is experiencing "lightening." the client would most likely state which of the following? a. "lcan breathe easier now." b. I don't have to urinate as often now." c. My lower back pain is gone now. d. My feet are more swollen than before."what is the Subjective data,Objective data, Assessment, Plan, Intervention, Evaluation and Revision of the following senario? Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.