Which of the following is a sign of thrombophlebitis?
a. Visible varicose veins
b. Positive Homans sign
c. Local tenderness, heat, and swelling
d. Pedal edema in the affected leg
C
These characteristics in option c are classic signs of thrombophlebitis that appear at the site of the inflammation.
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An 85-year-old male patient is aware of the need for a colonoscopy; however, he has a history of severe electrolyte imbalances associated with bowel preps for diagnostic tests. The nurse realizes that this patient should probably:
1. Talk to his doctor about not having the colonoscopy because the prep might be harmful. 2. Have the colonoscopy and take medication afterward for the electrolyte imbalances. 3. Wait a year and have the colonoscopy done then. 4. Have a flexible sigmoidoscopy instead.
The nurse is educating the patient about the significance of islet cell antibodies. Which statement accurately describes islet cell antibodies?
a. Islet cell antibodies cause beta cells to quit producing insulin and lead to type 1 di-abetes mellitus (DM). b. Islet cell antibodies protect beta cells from viral attack. c. Islet cell antibodies increase production of insulin from beta cells. d. Islet cell antibodies decrease the size of the pancreas.
What signs of cyanosis does a nurse inspect for in a dark-skinned patient?
a. Ashen-gray color of the oral mucous membranes b. Blue color in the nail beds c. Ashen-blue color in the palms and soles d. Blue-gray color in the ear lobes and lips
The nurse is admitting a patient with heart disease to the cardiac unit. When answering questions related to his health history, the patient's responses are lengthy and time consuming. What is the most important action by the nurse?
a. Recognize the patient may be lonely and just wants to talk to someone b. Set a time limit and inform the patient of your time frame to complete the assessment c. Anticipate the patient answers and quickly go on to the next question d. Be attentive, focus on what the patient has to say, and respond accordingly