The nurse is assessing a patient's bowel sounds. After auscultating each quadrant for 30 seconds, the nurse fails to hear any sounds. How should the nurse document this finding?
a. Absent bowel sounds
b. Hypoactive bowel sounds
c. Active bowel sounds
d. Hyperactive bowel sounds
Question 2The nurse caring for a patient who has just had an arteriovenous (AV) access created in his right forearm. Which finding(s) is/are important for the nurse to assess? (select all that apply.)
a. Presence of bruit on auscultation of the AV site
b. Capillary refill in the left hand
c. Blood pressure in the right arm
d. Adequate elevation of the right arm
e. Abdominal incision site
Question 3Which changes in the male reproductive tract result from age? (select all that apply.)
a. Increasingly pendulous scrotum
b. Enlarged prostate
c. Decreased testosterone
d. Increased ejaculate volume
e. Shortened arousal time
Question 4The nurse is caring for a patient who returns to the floor at lunch time after undergoing an upper GI (UGI series). Which action is most important for the nurse to perform first?
a. Administer a laxative.
b. Educate the patient about the possibility of white stools.
c. Offer the patient a small snack.
d. Provide oral care.
Question 5The nurse is caring for a male patient with angina who has a new prescription for sublingual nitroglycerin. What information is most important for the nurse to include in the teaching plan?
a. Nitroglycerin tablets expire 3 months after the bottle is opened.
b. Take a second tablet 15 minutes after the first dose and call the physician if pain persists.
c. Store nitroglycerin tablets in a cool, dark location.
d. Nitroglycerin may cause an unsafe drop in heart rate when combined with certain medications for erectile dysfunction.
Question 6The home health nurse is caring for a patient with chronic renal failure. Which assessment finding(s) indicate(s) that the patient is experiencing uremic syndrome? (select all that apply.)
a. Restless legs
b. Dry, scaly skin
c. Crystals in the eyebrows
d. Muscle cramps
e. Hypotension
Quick Reply
