The nurse is collecting data for a patient. The nurse would check for Homans' sign by which of these methods?
a. Observing the calf and thigh color bilaterally
b. Listening with a Doppler to posterior bilateral tibial pulses
c. Measuring the patient's calf and thigh circumference bilaterally
d. Dorsiflexing the patient's foot sharply and asking if calf pain occurs
ANS: D
Homans' sign is performed prior to confirmation of thrombophlebitis by dorsiflexing the patient's foot sharply and asking if calf pain occurred. Pain is positive for thrombophlebitis.
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A patient states, "I feel detached and weird all the time. It's as though I'm looking at life through a cloudy window. Everything seems unreal. It really messes up things at work and school."
This presentation is most consistent with the DSM-IV-TR criteria for: a. depersonalization disorder. b. body dysmorphic disorder. c. dissociative amnesia. d. malingering.
The first sign of myeloma is often:
a. weakness from ane-mia c. bone pain b. low grade fever d. general malaise
The father and child were playing soccer on a warm day. The child became dehydrated and was taken to the emergency department. The parents are discussing the situation with the nurse
Which of the following statements by the father indicates that adequate learning has occurred? 1. "I lose a lot more heat than my child can because of my body size.". 2. "My child doesn't sweat as much as I do.". 3. "Children always have a higher normal temperature than adults, so they're more prone to overheating.". 4. "I can take more air into my lungs than my child can, and I get rid of a lot more heat that way.".