Which of the following clinical manifestations alerts the nurse to the possibility of sciatic nerve impairment in a client with back pain?
A. The client has pain that radiates down the affected arm.
B. The client has a loss of handgrip strength.
C. The client has a shuffling gait.
D. The client walks with a limp.
D
In clients with low back pain, walking with a limp is usually indicative of sciatic nerve impair-ment.
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A nurse is administering analgesia to a 77-year-old female patient who has been diagnosed with herpes zoster (shingles). Which of the following statements about the patient's diagnosis is most accurate?
A) The disease was most likely contracted sexually, earlier in life. B) Antibiotics, coupled with pain control, will be the most likely course of treatment. C) Age-related changes to the immune system likely made the woman particularly susceptible. D) The infectious process exists in the brain even though symptoms are most often felt peripherally.
A patient who will require long-term mechanical ventilation has had a tracheostomy for 2 weeks. The nurse is concerned that stoma erosion is occurring. Which nursing assessment would support the nurse's concern?
1. Secretions are present at the stoma opening. 2. Granulation tissue is noted at the stoma site. 3. The patient has developed a dry cough. 4. The skin at the stoma opening is flaky.
A patient who has been diagnosed with depression asks why the provider has not ordered a monoamine oxidase (MAO) inhibitor to treat the disorder. The nurse will explain to the patient that MAO inhibitors
a. are more expensive than other antidepressants. b. are no longer approved for treating depression. c. can cause profound hypotension. d. require strict dietary restrictions.
Performing an abdominal assessment, a nurse notes tenderness while lightly palpating a client's right lower quadrant. The nurse determines that this finding is most likely associated with which of the following anatomic structures?
A. Liver B. Spleen C. Pancreas D. Appendix