In assessing a patient with a history of poliomyelitis, the nurse suspects the right leg muscles are smaller than the left leg. What is the best approach for the nurse to confirm or reject this suspicion?
a. Palpating both legs using the pads of the thumb and index fingers and comparing one side with another
b. Using a tape to measure each leg's circumference at the same location, above or below the nearest joint
c. Using a goniometer to measure the upper and lower legs with the patient in supine and standing positions
d. Palpating the legs using the tips of the thumb and index fingers, and comparing the findings with the Lovett scale
ANS: B
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A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL
What action by this patient most likely caused this episode of hypoglycemia? a. Taking a new form of birth control pill this morning b. Using large amounts of sugar substitute in her tea this morning c. A 2-hour long exercise class at the spa this morning d. Administering an insufficient dose of in-sulin this morning
The school nurse talks with caregivers of grade-school children about serving healthy foods and modeling eating healthy foods. How will this activity by the nurse help these children avoid obesity in the future?
a. Slim children will become slim adults, as they have less fat cells to fill up and the excess fat is excreted. b. The body metabolism is altered to be much slower on a long-term basis then children eat healthy foods at an early age. c. Eating healthy foods early allows the consumption of less healthy foods later without much harm. d. Early exposure to healthy foods will set up a preference for these foods, as adolescents tend to choose foods they are familiar with.
Fractures should always be
A. immobilized. B. casted. C. pinned. D. treated with traction.
The nurse is caring for a patient with brain tumor–related hydrocephalus who is scheduled to undergo placement of a ventriculoperitoneal (V-P) shunt
Which information is most important for the nurse to include when explaining the purpose of the procedure? a. A V-P shunt redirects the cerebrospinal fluid (CSF) from the ventricles to the pe-ritoneum. b. A V-P shunt stimulates ventricles to reabsorb excess CSF. c. A V-P shunt channels excess CSF to the left atrium. d. A V-P shunt provides a port from which excess CSF can be aspirated.