Which does the nurse consider a normal finding during the assessment of the adult client's lower extremities?
1. Tissue necrosis
2. Distal ischemia
3. Negative Babinski reflex
4. Negative Romberg's test
3
3. The Babinski reflex is normally negative, meaning that, on stroking the sole of the foot, the toes curl up but do not dorsiflex. Presence of the Babinski reflex indicates central nervous system dysfunction in an adult but is normal in children less than 2 years old.
1. Tissue necrosis is always abnormal and indicates tissue death.
2. Distal ischemia indicates tissue hypoxia and is an abnormal finding. Ischemic skin appears pale, dusky, and cool and has weak or absent pulses.
4. A positive Romberg's test is an abnormal finding of cerebellar function.
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Which statement(s) about total parenteral nutrition is (are) true? (Select all that apply.)
a. Assessing fluid volume status and preventing infection are important nursing considerations. b. Fingerstick glucose levels are assessed every 6 hours and prn. c. Total parenteral nutrition is administered through a feeding tube and pump. d. Total parenteral nutrition, with added lipids, provides adequate levels of protein, carbohydrates, and fats.
The degree to which health services for individuals and populations increases the likelihood of desired health outcomes that are consistent with current professional knowledge is known as the ____
a. Care delivery quotient b. Excellence index c. Quality of health care d. Standard of care
A patient diagnosed with a stasis ulcer has been hospitalized on the unit. The nurse has orders to change the dressing and provide wound care. Which activity should the nurse perform first?
A) Assess the drainage in the dressing. B) Slowly remove the soiled dressing. C) Wash hands thoroughly. D) Put on latex gloves.
Which of the following statements about COX-2 inhibitors is true?
A. NSAIDs and COX-2 inhibitor drugs do not promote sodium and water retention. B. Selective COX-2 inhibitors do not have the antithrombotic (clot prevention) protective action of aspirin and other COX-1 inhibitors because platelets are predominately a COX-1 pathway. C. Selective COX-2 inhibitors exhibit potentially less serious cardiac or renal adverse effects than do other nonsteroidal anti-inflammatory drugs (NSAIDs) because they focus only on one group of enzymes. D. All of the above are correct.