Which of the following would suggest spinal stenosis as a cause of this pain?
Mr. Edwards complains of cramps and difficulties with walking. The cramps occur in his calves consistently after walking about 100 yards. After a period of rest, he can start to walk again, but after 100 yards these same symptoms recur.
A) Coldness and pallor of the legs
B) Relief of the pain with bending at the waist
C) Color changes of the skin
D) Swelling with tenderness of the skin
B) Relief of the pain with bending at the waist
While these symptoms are classic for claudication, they may also be accounted for by spinal stenosis. Relief with bending at the waist would be consistent with this etiology. Some will state that they must lean over the shopping cart while shopping to avoid these symptoms. Bending stretches the spinal cord and presumably decreases compression. The other symptoms would lead one to suspect a vascular etiology.
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1. Assess the impact this experience has had on the client 2. Confront the reality of the crisis 3. Reassure client and family 4. Teach coping skills to client
The hospital has outsourced housekeeping services to an independent contractor. A patient, who was injured in a fall on wet flooring, brings suit against the company. Does the hospital also hold liability?
1. No, secondary to the doctrine of respondeat superior. 2. Maybe, secondary to the doctrine of dual servant. 3. Yes, secondary to the doctrine of borrowed servant. 4. Perhaps, secondary to the doctrine of ostensible authority.
The last step of the evaluation process is
a. reassessing the patient's status b. modifying the plan of care c. relating nursing actions to the patient's status d. determining outcome achievement
Which action is most likely to encourage parents to talk about their feelings related to their child's illness?
a. Be sympathetic. c. Use open-ended questions. b. Use direct questions. d. Avoid periods of silence.