A positive Homans' sign is present when the patient complains of pain in the
a. ankle upon dorsiflexion of the foot. c. calf upon flexion of the knee.
b. calf upon dorsiflexion of the foot. d. thigh upon elevation of the leg.
B
A positive Homans' sign may indicate the presence of a thrombophlebitis or deep venous thrombosis (DVT). Homans' sign is elicited by bending the patient's knee slightly, and sharply dorsiflexing the foot toward the tibia. Ask the patient if this maneuver elicits pain in the calf. There should be no complaints of calf pain when this is evaluated. A positive Homans' sign is present when the patient complains of pain in the calf when the foot is dorsiflexed toward the tibia.
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During a prenatal education class about infant home care, the nurse is reviewing the simulated setting created by new mothers for putting the baby to bed
Which observation indicates to the nurse that the new mothers understood the nurse's teaching about infant safety? a. The crib is lined with a bumper pad. b. Stuffed animals are placed in the crib. c. The baby mannequin is in the supine position. d. The baby mannequin is covered with a handmade quilt.
The need for comprehensive home care programs for children was largely created by:
a. caregivers demanding that children be cared for at home whenever possible b. health care practitioners and nurses who felt the hospital was likely to create more infections than the home c. managed care supporting early discharges as a cost-effective measure d. the Joint Commission because of the understaffing of nurses in hospitals
Which behavior would a nurse focus upon when using a token economy as a method of positive reinforcement?
a. Altering cognitive perceptions b. Reinforcing cognitive congruence c. Performing assigned tasks in a cooperative manner d. Pairing desired behaviors with undesired behaviors
A client has been in the intensive care unit for a week receiving various procedures throughout the day and night. Currently the client, though physiologically stable, is irritable and paranoid and complains of vivid dreams when dozing off to sleep
What are the best actions for the nurse to take at this time? Standard Text: Select all that apply. 1. Check the client's oxygen status. 2. Request an order for sleep medication. 3. Assess the client's vital signs. 4. Turn down the lights at night and reduce noise to a minimum. 5. Schedule all tests and procedures before 9 p.m. or after 7 a.m.