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Author Question: The patient is admitted with fever and acute lower abdominal pain. He has taken Tylenol but says he ... (Read 52 times)

strangeaffliction

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on: Jul 24, 2018
The patient is admitted with fever and acute lower abdominal pain. He has taken Tylenol but says he still feels feverish. Before taking the patient's temperature, the nurse may:
 
  a. touch the patient's skin with the dorsum of her hand.
  b. touch the patient's skin with the pads of her fingers.
  c. palpate the skin using the bimanual method.
  d. tap the patient's skin using the fingertips.

Question 2

MC Clinical Situation: Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6 months ago, but the physician wanted her to lose weight before the surgery.
 
  She has developed a postoperative infection and now requires wound care and dressing changes. You are assigned to care for Mrs. Smith for your clinical experience. When placing the sterile 4x gauze pads on Mrs. Smith's incision, you did not cover the incision as you intended. You should A. Remove the gauze pads and replace them with new pads.
  B. Adjust the pads to cover the incision.
  C. Place an additional pad over the exposed section of the incision.
  D. Leave the gauze pads in place and apply an ABD over them.


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adammoses97

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Reply #1 on: Jul 24, 2018
Answer to Question 1

A
The dorsum (back) of the hand is more sensitive to temperature variations. The pads of the fingertips detect subtle changes in texture, shape, size, consistency, and pulsation of body parts. Bimanual palpation involves one hand placed over the other while pressure is applied. The upper hand exerts downward pressure as the other hand feels the subtle characteristics of underlying organs and masses. Seek the assistance of a qualified instructor before attempting deep palpation. Percussion involves tapping the body with the fingertips to evaluate the size, borders, and consistency of body organs and to discover fluid in body cavities.

Answer to Question 2

C


strangeaffliction

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Reply 2 on: Jul 24, 2018
Thanks for the timely response, appreciate it

kjohnson

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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