The nurse is examining a 3-month-old infant. While the nurse holds his or her thumbs on the infant's inner mid thighs and the fingers on the outside of the infant's hips,
touching the greater trochanter, the nurse adducts the legs until the his or her thumbs touch and then abducts the legs until the infant's knees touch the table. The nurse does not notice any "clunking" sounds and is confident to record a:
a.
Positive Allis test.
b.
Negative Allis test.
c.
Positive Ortolani sign.
d.
Negative Ortolani sign.
ANS: D
Normally, this maneuver feels smooth and has no sound. With a positive Ortolani sign, however, the nurse will feel and hear a "clunk," as the head of the femur pops back into place. A positive Ortolani sign also reflects hip instability. The Allis test also tests for hip dislocation but is performed by comparing leg lengths.
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You are caring for a client who has an order to receive Hespan IV. The client asks you what this solution is for. What would be your response?
A) "This solution pulls fluid into the vascular space." B) "This is a colloid solution used to replace blood." C) "Hespan is a solution used instead of a transfusion." D) "Hespan is an artificial blood replacement product."
A patient who is also a nurse is being treated for anxiety with a selective serotonin reuptake inhibitor. She asks about the rationale for use of this agent rather than a benzodiazepine. Which of the following is the nurse's best response?
a. "Selective serotonin reuptake inhibitors are better for the control of bodily symp-toms than benzodiazepines." b. "Selective serotonin reuptake inhibitors provide a more rapid and durable re-sponse to the uncomfortable anxiety symptoms." c. "Benzodiazepines currently have no role in the treatment of anxiety." d. "Selective serotonin reuptake inhibitors are better for reducing the cognitive and psychic symptoms of anxiety than benzodiazepines."
Why is the term healing preferred to medicine when referring to alternative and complementary modalities?
a. Medicine implies that only physicians can carry out the treatment. b. The treatments are based on holistic phi-losophies that go beyond treatment or cure of the physiologic dimensions of care. c. Clients might associate alternative treat-ments with hospital care. d. Nurses have had a strong influence in naming this modality.