Describe the normal gait.
What will be an ideal response?
The leg is on the floor during the first phase and is brought forward during the second phase. Walking begins with the ankle in dorsiflexion and the heel striking the floor first, rolling onto the ball of the foot. The patient must be able to stand straight on this leg while bringing the other leg forward. The arms normally swing slightly during walking.
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A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is the:
1. Nurse. 2. Social worker. 3. Unit secretary. 4. Physician.
The nurse manager feels that changing the unit's method of assigning break times would benefit the flow of client care. What should be the manager's first action associated with this idea?
1. Tell the staff that a change is coming, but that it is positive and they should not be worried. 2. Collect and analyze information about how the current system is working. 3. Mention in a staff meeting that the current system is causing a lot of trouble. 4. Identify how the manager would know if the change is benefiting the unit.
A patient was admitted with diabetic ketoacidosis 1 hour ago and is on an insulin drip. Suddenly, the nurse notices frequent premature ventricular contractions (PVCs) on the electrocardiogram. The expected intervention would be to
a. administer a lidocaine bolus. b. administer a lidocaine drip. c. synchronize cardioversion. d. evaluate electrolytes.
The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the patient's provider to discuss
a. changing the medication to phentermine-topiramate (Qsymia). b. increasing the dose to 37.5 mg/day since tolerance has likely occurred. c. initiating a slow taper of the phentermine. d. stopping the drug immediately since long-term use is not recommended.