The nurse is assessing the vital signs of a client experiencing hypoparathyroidism. While monitoring the blood pressure, the nurse notes the client's hand begins to spasm
Which term is appropriate for the nurse to use when documenting this assessment finding?
A) Trousseau sign
B) Chvostek sign
C) Turner's sign
D) Cullen's sign
Answer: A
Trousseau sign is elicited when placing a blood pressure cuff on the arm; when the cuff is inflated, the client experiences carpal spasms. Chvostek sign is elicited by tapping on the face in front of the ear and observing for contractions of the muscle. Turner's sign and Cullen's sign are both associated with retroperitoneal bleeding.
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When the older female adult who is close to death asks the family to leave after short vis-its and acts withdrawn in their presence, the family becomes distraught
Which does the nurse include in family teaching to explain the patient's behavior? a. She is preoccupied with her own death. b. She must have unresolved family issues. c. She can be experiencing anticipatory grief. d. Her body prepares for death in this manner.
The nurse is considering using the Claus model to assess the breast cancer risk in clients in a free clinic. What is the primary reason this is not a good model choice?
1. This model does not consider the age of the client. 2. Paternal family history is not included in the assessment. 3. In this setting the model is likely to substantially underestimate risk. 4. The health of second-degree relatives is not considered.
Following hip surgery, a patient is placed in a spica cast. The pediatric nurse knows a complication of the cast, known as cast syndrome, can be prevented by the following nursing actions
Select all answers that apply. A) Increasing fluid intake B) Keeping the same position C) Increasing fiber in the diet D) Cutting a window in the cast
Which classification of oral hypoglycemic drugs decreases hepatic glucose production and increases insulin sensitivity and peripheral glucose uptake?
a. Biguanide (metformin) b. Sulfonylureas (glyburide) c. Meglitinides (glinides) d. ?-Glycosidase inhibitor (miglitol)