The RN is conducting a postoperative neurovascular assessment on her client post total knee replacement. She assesses for Homan's sign. A positive Homan's sign in indicated by what clinical symptom?
a. pain in the calf upon flexion of the knee
b. delayed capillary refill
c. cool extremity
d. pain in the calf upon dorsiflexion of the foot
D
To assess for Homans' sign, the clinician will ask the client to slightly flex the knee. The nurse dorsiflexes the client's ankle and observes for pain in the calf and popliteal areas. Pain is indicative of a positive Homans' sign. Do not do a Homans' sign on a client with a history of thrombosis.
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A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge
a. Medication reconciliation b. Providing a list of community resources c. Contacting a durable medical equipment facility d. Educating the client on appropriate range-of-motion exercises
A nursing unit has just completed a 6-month trial of using team nursing to provide care. The overwhelming opinion of the staff is that the experiment was a disaster
What are the most common reasons team nursing is not successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There are problems with delegation. 2. There are problems with the skill set of the UAPs on the teams. 3. The LPNs on the team do not accept their position of being "in the middle." 4. Communication on the team or with the nurse manager is flawed. 5. RNs and LPNs struggle with who is in control and has the power on the team.
The nurse is caring for a 4-week-old girl and her mother. Which of the following is the most appropriate subject for anticipatory guidance?
A) Promoting the digestibility of breast milk B) Telling how to introduce rice cereal C) Describing root reflex and latching on D) Advising how to choose a good formula
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?