The nurse is testing a patient for the presence of Trousseau's sign. Which patient response should the nurse recognize as a positive result?
a. Weakness of the arm
b. Pain in the arm and hand
c. Spasticity of the arm and fingers
d. Redness of the arm below the cuff
ANS: C
C. Spasticity indicates impending tetany. A. B. D. Weakness, redness, or pain may be signs of circulatory impairment but not tetany.
You might also like to view...
A nurse cares for a client who is experiencing epistaxis. Which action should the nurse take first?
a. Initiate Standard Precautions. b. Apply direct pressure. c. Sit the client upright. d. Loosely pack the nares with gauze.
An 18-year-old client who joined the military shortly after graduating from high school is admitted to the mental health unit for depression and suicidal ideation. He tells the nurse the military is not what he expected and he wants to go home
The nurse observes a variance in affect between his interaction with peers and staff. The nurse suspects: 1. Conversion disorder. 2. Factitious disorder. 3. Malingering. 4. Body dysmorphic disorder.
A client with a history of which of the following is at an increased risk for ovarian cancer?
A) Multiple sexual partners C) Vitamin deficiency B) Consumption of a high-fat diet D) Grand multiparity > 5 children
The nurse might choose to use previously collected data to determine apparent health problems of a community. What might be the nurse's second step?
A. Assess the community in relation to the identified specific health problem. B. Determine how best to help other personnel in the agency meet the identified need. C. Gather external resources to help meet the identified needs. D. Work with collaborating agencies to obtain external funding.