To test deep tendon reflexes, the nurse uses which instrument?
a. Goniometer
b. Calipers
c. Reflex hammer
d. Monofilament
ANS: C
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A client is prescribed to take warfarin. The client has also been instructed to avoid taking foods that contain vitamin K to prevent food and drug interactions
Which of the following sources of food should the nurse inform the client to avoid because they contain vitamin K? A) Fish, meats, and vegetable oils C) Milk and dairy products B) Citrus fruits D) Cereals, soybeans, and spinach
The nurse evaluates diagnostic results for a client who has chest pain. Which laboratory test is most specific for acute coronary syndromes?
a. Troponin markers b. Serum lactate dehydrogenase (LDH) c. Serum myoglobin d. Creatine kinase (CK)-MB isoenzyme
The nurse is concerned that a patient may be developing necrotizing fasciitis (NF)
Which assessment findings would the nurse evaluate as increasing the patient's risk for this condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient is 78 years old. 2. The patient has diabetes. 3. The patient is hypertensive. 4. The patient has fair skin and blue eyes. 5. The patient is an alcoholic.
If all of these goals were appropriate for a client, which would have the highest priority?
a. Prevent injury from falls caused by confu-sion b. Re-establish the role as primary provider for the family c. Improve body image after leg amputation d. Control postoperative bleeding