A nurse performs Homans maneuver by flexing the knee and sharply dorsiflexing the foot. What response indicates a positive Homans sign?
a. Cramping of the toes
b. Resisting dorsiflexion
c. Pain in the calf area
d. Blanching of the sole
C
A positive Homans sign indicates the possible presence of a DTV because of the pain produced in the calf of the leg when the foot is dorsiflexed.
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Which of the following best describes why utilization review departments are becoming case management units?
a. Funding is available for case management responsibilities. b. Monitoring service use alone does not improve patient outcomes. c. It facilitates using nurse experts for case management. d. It promotes the current trend of naming "utilization review" units "case management."
An anatomy and physiology instructor scratches chalk across the blackboard causing a screeching sound. Several students get a feeling like their "hair is standing on end
" This response is part of the sympathetic stress reaction and is called what? A) Diaphoresis B) Diuresis C) Piloerection D) Vasoconstriction
Which interventions should the nurse use to reduce the risk of aspiration for an older patient with dysphagia? Standard Text: Select all that apply
1. Monitor during meals for a change in respirations. 2. Maintain an upright position for 1 hour after eating. 3. Raise the head of the bed to a 90 degree angle during meals. 4. Provide pureed solid foods and thin clear liquids during meals. 5. Ensure that one bite has been swallowed before providing another.
On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?
A) Begin an IV infusion of Ringer's lactate solution. B) Assess the woman's vital signs. C) Call the woman's health care provider. D) Assess the woman's fundus.