You are growing fatigued of performing a maneuver on examination because you have never found a positive and are usually pressed for time. How should you next approach this maneuver?
A) Use this test when you have a higher suspicion for a certain correlating condition.
B) Omit this test from future examinations.
C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.
D) Continue performing it on all future examinations.
A) Use this test when you have a higher suspicion for a certain correlating condition.
This is an example of a specific test that lacks sensitivity. With this scenario, when you finally find a positive, you might be very certain that a given condition is present. We generally develop our examinations to fit our clinical experiences. Sensitive tests are performed routinely on the screening examination, while specific tests are usually saved for the detailed or “branched” examinations. Branched examinations are further maneuvers we can perform to investigate positive findings on our screening examinations. Save this type of maneuver to confirm your hypothesis. All of this information also applies to history questions.
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A) Obtain an order for naloxone B) Ask the prescriber to reduce the dose C) Slow the rate of the infusion D) Give the nitroprusside at the ordered rate
The union?s representative for a hospital is discussing the possibility of a strike. The representative informs the employees the first action prior to initiating a strike is to notify:
1. Administration and attending medical staff. 2. The FMCS (Federal Mediation and Conciliation Service). 3. Medical chief of staff. 4. The board of directors.
A client diagnosed with major depressive disorder asks, "What part of my brain controls my emotions?" Which nursing response is appropriate?
1. "The occipital lobe governs perceptions, judging them as positive or negative."2. "The parietal lobe has been linked to depression."3. "The medulla regulates key biological and psychological activities."4. "The limbic system is largely responsible for one's emotional state."
Which should be included in the home care of a high-risk infant?
a. Feeding the infant on a strict schedule b. Keeping the infant in the supine or prone position c. Providing continued respiratory support and oxygen d. Cleaning the umbilical cord several times daily with alcohol