Which test would best assess for fluid in the knee joint?
1) Bulge test
2) Thomas test
3) Apley test
4) Trendelenburg test
ANS: 1
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The client is in the hospital with increased intracranial pressure (IICP). The nurse should question which order for this client?
1. Mannitol 2. 10% dextrose with electrolytes 3. Lactated Ringer's solution 4. Loop diuretics
The nurse is caring for a patient with placenta accrete. What is the priority assessment?
a. Hemorrhage b. Infection c. Pain d. Dehydration
An elderly man saw a flyer about a free influenza immunization clinic at the senior citizens' center. Which of the following would be his best choice of action?
a. Attending the free immunization clinic to say hello to his social contacts b. Bringing his elderly wife and both receive the influenza immunization c. Realizing that at his advanced age, he's already immune to influenza, and so he does not need to attend the clinic d. Recalling that he and his spouse received an influenza vaccine last year, and so they already have immunity
A psychiatric nurse best applies the ethical principle of autonomy by:
a. exploring alternative solutions with a patient, who then makes a choice. b. suggesting that two patients who were fighting be restricted to the unit. c. intervening when a self-mutilating patient attempts to harm self. d. staying with a patient demonstrating a high level of anxiety.