Which action by the nurse is appropriate when testing for Homans' sign?

1. Pointing the client's toes down
2. Having the client point the toes up toward the calf
3. Flexing the client's toes as wide apart as possible
4. Rotating the client's foot


Correct Answer: 2

Homans' sign is tested when the client dorsiflexes the foot. It is considered positive if the client reports deep pain with this movement. Lack of pain is considered a negative Homans' sign, and this is the normal finding.

Nursing

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