John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely
John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test
ANS: B
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A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. What nursing intervention is a priority for this child?
a. Minimizing environmental stimuli b. Administering immunoglobulin c. Monitoring and maintaining systemic blood pressure d. Discussing long-term care issues with the family
A client who experienced a minor hemorrhagic stroke from an aneurysm 1 week ago reports a severe headache accompanied by one episode of nausea and vomiting. What conclusion can be drawn from this information?
A. The client's warfarin dose is inadequate. B. The client has manifestations of rebleeding. C. The client is experiencing a transient vasospasm. D. The client is experiencing stroke-related psychological stress.
When appropriately addressing safety issues, the geriatric nurse plans the patient's care plan directed by the standard of care that requires
a. promoting both health and wellness by assuring safety. b. minimizing the patient's risk for physical injury while preserving autonomy. c. identifying safety from injury as a patient right. d. emphasizing beneficence as a an ethical standard of nursing care.
An elderly client receiving eszopiclone asked the nurse why he only takes 2 mg of the drug, while his son takes 4 mg. The nurse's best response is:
a. "You are prescribed the lower dose, because at your age you do not process and eliminate drugs the same as your son." b. "You should ask your doctor for an increased dose, explaining that your son takes a higher dose." c. "Because this drug affects what we call REM sleep, older clients should not receive more than 2 mg of this drug." d. "I don't know why your son would be prescribed such a high dose of this drug, but I will check with your doctor about it."