The postsurgical patient has a painful and swollen right calf that appears to be larger than the calf of the left leg. What is the nurse assessing for when she flexes the patient's right leg and dorsiflexes the foot?
a. Pain, which would be a positive Homans sign
b. Muscular spasm, which would be a sign of hypocalcemia
c. Rigidity, which would be a sign of ankylosis
d. Crepitus, which would be a sign of a joint disorder
ANS: A
A positive Homans sign for deep vein thrombosis (DVT) is a report of pain when the affected leg is flexed and the foot is dorsiflexed.
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When conducting a health history for a client hospitalized with end-stage renal failure after many year of cocaine abuse, what is the correct sequence for collecting data for this client?
Response 1: Organizing how to proceed with the client and generating alternatives to the approach. Response 2: Identifying assumptions that can misguide or misdirect the assessment and intervention process. Response 3: Collecting information and determining its relevance as far as impacting the client care. Response 4: Identifying any inconsistencies in the communication from the client and or significant others. Response 5: Determining the reliability of the data collected by the client.
A patient asks the nurse if synthetic vitamins are better than natural vitamins. Which is the best response?
a. Synthetic vitamins cost more than natural vitamins. b. Synthetic vitamins are better dissolved. c. Synthetic vitamins have questionable safety records. d. Synthetic vitamins must be taken in larger amounts.
Which of the following is an accurate demographic of the adolescent and young adult age groups?
a. Their morbidity rates for chronic medical conditions are the highest of the entire population. b. Their morbidity rates for chronic medical conditions are equal to that of the middle adult population. c. Their mortality rates are among the lowest of all age groups. d. Their mortality rates are among the highest of all age groups.
A researcher evaluates scores of a paper and pencil instrument with dichotomous variables using the Kuder-Richardson formula. This is a test of
a. alternate forms reliability. b. internal consistency reliability. c. interrater reliability. d. test-retest reliability.