To assess the competence of venous valves in clients who have varicose veins, the nurse:
a. Notes how quickly veins fill after lifting one leg above the level of the heart.
b. Assesses for Homan's sign in both lower extremities while the client is supine.
c. Assesses capillary refill on the toes of both feet while the client is sitting in the chair.
d. Measures the circumference of both calves and compares the results.
ANS: A
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Based on the assessment results, which of the following hospital patients is most likely to be experiencing the effects of chronic stress?
A) A 32-year-old intravenous drug user with a diagnosis of endocarditis B) A 45-year-old paraplegic who is experiencing delayed wound healing of an ischial ulcer C) A 79-year-old woman who has a diagnosis of acute and chronic renal failure D) A 63-year-old man with a diagnosis of chronic obstructive pulmonary disease (COPD) and heart failure (HF)
A patient is admitted with the diagnosis of possible acute pancreatitis. Upon assessment, the nurse notes faint bruising over the patient's flank region. How would the nurse report and document this finding?
1. Homan's sign 2. Cullen's sign 3. Grey Turner's sign 4. Chvostek's sign
The client is experiencing status epilepticus. Which of the following drugs should the nurse have ready to administer?
A. Atropine B. Lorazepam C. Propranolol D. Theophylline
To limit uncertainty in diagnostic decision making, the ratio of fact to conjecture must be:
a. positive. b. negative. c. negligible. d. inverse.