The correct procedure for auscultating the client’s abdomen for bowel sounds would include
A. palpating the abdomen first to determine correct stethoscope placement.
B. encouraging the client to cough to stimulate movement of fluid and air through the abdomen.
C. placing the client on the left side to aid auscultation.
D. listening for 5 minutes in all four quadrants to confirm absence of bowel sounds.
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The most significant sign of acute renal failure is
A. elevated body temperature.
B. increased blood pressure.
C. decreased urine output.
D. increased urine specific gravity.
Which of the following situations is more likely to predispose a client to postpartum hemorrhage
A. Birth of a 7 lb (3,175g) infant.
B. Prolonged first stage of labor.
C. Pregnancy-induced hypertension (PIH).
D. Birth of twins.
The mother of a 4-year-old asks about dental care for her child. "I help brush her teeth every day and her teeth look healthy. When should I take her to see a dentist" Which of the following responses would be most appropriate
A. "Because you help brush her teeth, there’s no need to see a dentist right now. "
B. "Ideally she should have seen a dentist already, but it’s still not too late. "
C. "Your child doesn’t need to see the dentist until she starts school. "
D. "A dental checkup is a good idea even if no problems are noticeable. "
A client with a history of alcoholism returns to the hospital 3 hours later than he supposed to be. His breath smells of alcohol and his gait is unsteady. Which of the following would be the best response by the nurse
A. "I’m disappointed that you weren’t responsible with your day pass. "
B. "Please go to bed now. We’ll talk in the morning. "
C. "Why are you 3 hours late"
D. "How much did you drink tonight Drinking is against the rules. "
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