The nurse is assessing the client following orthopedic surgery for a deep vein thrombosis. When performing this assessment, the nurse is most correct to perform which movement?
A) External rotation
B) Flexion
C) Dorsiflexion
D) Supination
C
Feedback:
To assess the client for a deep vein thrombosis, the nurse performs the Homan's sign. To do the Homan's sign properly, the nurse dorsiflexes the foot to assess for calf pain.
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An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse initially:
a. asks if they have any thoughts of committing suicide b. recognizes that this score is not indicative of depression c. knows it is not unusual for clients this age to earn such a score d. notifies the client's healthcare provider immediately
A client tells the nurse that he is having increasing difficulty seeing the print while reading a newspaper. The nurse would utilize which of the following to assess this client?
1. Snellen eye chart 2. Penlight 3. Cover-uncover test 4. Rosenbaum eye chart
Mrs. G accompanies her 12-year-old daughter to the clinic for a routine visit. She is obviously upset about her daughter's weight and repeatedly tells both the nurse and daughter how unattractive she looks
Your best response to the mother would be: 1. Criticism results in low self-esteem and can promote eating disorders. 2. Closely monitor her food intake and restrict high calories foods. 3. Talk with her teachers and make sure she is not eating junk food at school. 4. During puberty children gain weight but lose it again during adolescence.
In conducting an assessment of a patient with GI bleeding, the nurse uses which of the following pieces of subjective data?
A. Hematocrit 20% B. Appearance of stool C. Spouse's statement of symptoms D. Health record description of signs