A client complains of a warm, tender, reddened, hardened area in the right calf on the second postoperative day and has a positive Homans' sign. Which of these actions should the nurse take NEXT?
a. Assist the client to ambulate.
b. Recheck for Homans' sign and chart the results.
c. Massage the calf vigorously to relieve the pain.
d. Report finding to the client's surgeon.
D
Homans' sign indicates thrombophlebitis and should be reported to the surgeon.
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The client arrives at the emergency room reporting symptoms of heart palpitations, tightness in the chest, and epigastric pain. The nurse asks the client what was happening when these symptoms first appeared. The client states a stressful event
The nurse is correct to correlate that the symptoms experienced stem from which system? A) Sympathetic nervous system B) Autonomic nervous system C) Cardiopulmonary system D) Central nervous system
Your patient has been diagnosed with pericarditis. Which of the following are signs and symptoms, or a precipitating factor? (Select all that apply.)
a. Sharp pain b. Pain relieved by sitting up c. Pain relieved by resting d. Friction rub heard to right of sternum e. History of kidney failure f. Result of viral infection g. Result of medications such as procaina-mide
A parent of an infant states that she will room-in while her child is hospitalized. The nurse supports her decision knowing that the major fears of infants during illness and hospitalization are:
a. bodily injury and pain. b. separation from caregivers and fear of strangers. c. loss of control and altered body image. d. the unknown and being left alone.
The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching about a client admission has been effective?"
1. "A vaginal examination is performed if delivery appears to be imminent." 2. "Her prenatal record is reviewed for indications of domestic abuse." 3. "She will be positioned supine to facilitate a normal blood pressure." 4. "A urine specimen is obtained by catheter to check for protein and ketones."