The nurse preparing to assess a client for the presence of clubbing would instruct the client to

a. place both hands on a flat surface and splay the fingers.
b. place the nails of the ring fingers together.
c. sit upright and lean over the bedside table.
d. walk 50 feet up the hall as quickly as possible.


B
Early clubbing may be assessed by using the Schamroth technique. The client places the nails of the fourth (ring) fingers together while extending the other fingers together, then holds the hands up. A diamond-shaped space between the nails is a normal finding; that is, clubbing is absent.

Nursing

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Why do COX-2 inhibitors increase the risk for cardiovascular problems? (Select all that apply.)

A) Vasoconstriction is blocked. B) Vasodilation is blocked. C) Platelet clumping is blocked. D) Water and sodium balance is altered. E) Gastrointestinal (GI) integrity is altered.

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An adult client is diagnosed with bone spurs of the vertebral column. Which is the priority action by the nurse?

A) Implement low-level exercise program. B) Assess pain management. C) Teach relaxation techniques. D) Refer to a dietitian.

Nursing

When harm comes to a client by a nurse or other healthcare worker, the act is called a tort. Torts can be intentional or unintentional

a. What are the intentional torts and give examples of these. b. What are some types of unintentional torts and what would be an example of these?

Nursing

A nurse manager is implementing computerized care plans for the units of the hospital. Which of the following guidelines must be followed when writing care plans?

1. Plans must be dated and signed. 2. Categories must have headings. 3. Plans must be specific. 4. Plans must include preventive care and health maintenance. 5. Plans must include interventions for ongoing assessment. 6. Plans are standardized and generalized for all clients.

Nursing