Study Guide and Core Concepts Review
a student nurse who is documenting progress notes in a client's records should NOT - correct
answer ✔✔- write in any colour other than black or blue
- use correcting fluid
- scribble out errors
- use unapproved abbreviations
when inspecting a client's abdominal contour, the nurse observes the abdomen to be sunken
with the lower edges of the ribs visible. The nurse describes and documents this as: - correct
answer ✔✔scaphoid
a young adult male who comes to the clinic complaining of diarrhoea and vomiting is suspected
of having gastroenteritis. On auscultation the nurse would identify that the patient's bowel
sounds are - correct answer ✔✔hyperactive
the patient is an 86 year old male who is incontinent at night. An appropriate alternative to
catheterisation for this patient would be: - correct answer ✔✔- less fluid in evening
- urodome
- regular toileting
- antidiuretic medication
- incontinence pad
the mechanism of action of the oral laxative senokot is - correct answer ✔✔stimulates
peristalsis increasing motility of large intestine
urinary incontinence is defined as - correct answer ✔✔- involuntary leakage of urine
- inability to control urination
, to help promote normal defecation and prevent discomfort, ideally the nurse should place the
patient on a bedpan in which position? - correct answer ✔✔half sitting up with knees bent -
fowlers position
the nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days
when the patient - correct answer ✔✔- abdo pain
- liquid stool - overflow
- malaise
- persistent urge
- bleeding
- absent bowel sounds in LLQ
- distended lower ab
- tenderness on palpation
- dull sound on percussion
ascites is defined as - correct answer ✔✔abnormal accumulation of fluid with in the abdomen
a nurse asks a patient to turn the palm down with the elbows straight. The specific joint
movement the nurse is testing for is - correct answer ✔✔pronation of elbow
you are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has kyphosis. This is - correct answer ✔✔outward curve of spine in upper back
The nurse examining the ROM of a client's shoulder. what is a normal finding ? - correct answer
✔✔full active and painless ROM with no crepitus