QOD-87 Assessment of Pain (GI/GU/Health Promotion and Maintenance)
Question: A nurse is caring for a 15-year-old girl who is recovering from an appendectomy. The nurse is trying to assess the patients level of pain. Which question from the nurse would be most appropriate for determining the intensity of pain the patient is experiencing? Answer: C. “How would you rate your pain on a […]
QOD 73: Irrigation of NG Tube (GI/GU/Basic Care and Comfort)
Question: A nurse is preparing to irrigate a patients nasogastric tube. She has assessed the patients abdomen and determined that the tip of the tube is located in the stomach. After drawing up 30 mL of normal saline into a syringe, the nurse prepares for the next step. Which best describes the next step in […]
QOD 52: Calorie Counting for Weight Loss (GI/GU/Basic Care and Comfort)
Question: A physician has ordered calorie counts for a patient who needs to lose weight. Which best describes how the nurse would instruct the client in this process? Answer: B. “This method teaches you common amounts of calories in foods and you keep track of what you eat every day.” Rationale: Calorie counting is a […]
QOD 31: Palpation and Percussion of Abdomen (GI/GU/Health Promotion and Maintenance)
Answer: C. Inspection, auscultation, percussion, palpation Rationale: When assessing any other part of the body, the nurse would normally perform the methods of assessment in the order of inspection, palpation, percussion, and then auscultation. However, when assessing the abdomen, the order of the techniques is different and should be instead done in the order of […]
QOD 30: Palpation (GI/GU/Health Promotion and Maintenance)
Answer: D. The pads of the fingers Rationale: When assessing a patient through palpation, the nurse may use different parts of the hand to find differing signs related to the patients condition. The pads of the fingers are best used for palpating pulsations, edema, and crepitus, as well as determining moisture content of the skin. […]