The nurse tests a patient for Trousseau's sign by inflating a blood pressure cuff around the upper arm for 2 minutes. Which patient response indicates a positive result?
a. Weakness of the arm
b. Redness of the arm below the cuff
c. Spasticity of the arm and fingers
d. Pain in the arm and hand
ANS: C
Spasticity signals impending tetany. Weakness, redness, or pain may be signs of circulatory impairment, but not tetany.
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The nurse is performing patient teaching with a young mother who has brought her 3-month-old to the clinic for a well-baby check
Knowing that it is cold season, what information should the nurse provide to the mother to best prevent transmission of organisms? A) Take prescribed antibiotics B) Use warm salt-water gargles C) Dress warmly D) Wash hands frequently
The following are nursing measures commonly offered to women in labor. Which nursing intervention probably would be most effective in applying the gate-control theory for relief of labor pain?
A) Encourage the woman to rest between contractions B) Change the woman's position C) Give the prescribed medication D) Massage the woman's back
The nurse recognizes that a characteristic of effective team collaboration includes which of the following?
a. It promotes inclusion of the client and family. b. It increases fragmentation of client care. c. It discourages synergistic creativity among professionals. d. Its goal is to duplicate efforts to promote safe, high-quality care.
Babies take in air during feedings. Burping helps to get rid of air. Which is correct?
a. Burp the baby every 5 minutes during the feeding. b. Lie the baby on your lap and pat his back to burp him. c. To burp the baby, gently pat or rub the baby's back with circular motions. d. Support the baby's head and neck for the first 6 months after birth.