The preceptor would intervene if the newly licensed nurse planned to test for the iliopsoas sign in which patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A patient immobilized after sustaining a neck injury
2. A 70-year-old patient hospitalized with abdominal pain
3. A patient who had hip-replacement surgery 6 years ago
4. A patient with suspected inflammation of the cecum
5. A patient who may have appendicitis
1,2,3
Rationale 1: The iliopsoas sign test should not be performed on an immobilized patient.
Rationale 2: The iliopsoas sign test should be performed only with great caution in older adults.
Rationale 3: Patients with hip replacements should not have the iliopsoas sign test.
Rationale 4: The iliopsoas sign test is useful in the assessment of a patient with suspected inflammation of the cecum.
Rationale 5: The iliopsoas sign test is useful in the assessment of a patient with suspected appendicitis.
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A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition?
a. Obturator test b. Test for Murphy sign c. Assess for rebound tenderness d. Iliopsoas muscle test
A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which of the following in the client's newborn?
A) Asphyxia C) Caput succedaneum B) Clavicular fracture D) Central nervous system injury
What is marasmus?
a. Deficiency of protein with an adequate supply of calories b. Syndrome that results solely from vitamin deficiencies c. Not confined to geographic areas where food supplies are inadequate d. Characterized by thin, wasted extremities and a prominent abdomen resulting from edema (ascites)
The nurse is caring for a 2-year-old child in the postoperative period. The pain-assessment tool most appropriate for assessment of pain intensity in a 2-year-old is the
1. FLACC Behavioral Pain AssessmentScale. 2. faces pain scale. 3. Oucher scale. 4. poker-chip tool.