Your patient is lying supine and you ask him to raise his leg while you place resistance against the thigh. The examiner is testing the patient for:

A. Psoas sign
B. Obturator sign
C. Rovsing's sign
D. Murphys' sign


ANS: A
To examine the patient for appendicitis, the clinician can test the patient for psoas sign. This is done in the following manner: Place a hand on the patient's thigh just above the knee and ask the patient to raise the thigh against your hand. This contracts the psoas muscle and produces pain in patients with an inflamed appendix.

Nursing

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In formulating a plan of care for an obese woman who is trying to conceive, the nurse should include which information?

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The reason Epinephrine is administered subcutaneously to a client experiencing an anaphylactic reaction is to:

a. increase the hista-mine response c. decrease heart con-tractions b. dilate the bronchioles d. relax the blood ves-sels

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The nurse has set up a group discussion for several families with chronically ill children. The nurse informs these parents that they may face which ethical issue?

1. Normalization 2. Withholding and refusal of treatment 3. Repeated hospital admissions 4. Lack of proper dietary needs

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