In assessing the joint range of motion of a patient's knees, the nurse notices the flexion is less than expected in both knees. What is the next appropriate action for the nurse?
a. Documenting this finding as expected for this patient because it occurs in both knees
b. Palpating the suprapatellar pouch on each side of the quadriceps for contour, tenderness, and edema
c. Using a goniometer to measure the flexion in both knees and comparing the results with expected flexion
d. Applying opposing force to the lower leg while the patient tries to maintain flexion and extension
ANS: C
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The nurse recognizes during her assessment of schizophrenic individuals that they can exhibit positive or negative behaviors. The positive behaviors may be delusions, hallucinations, and disordered thinking. The prognosis for these patients is:
a. guarded. b. poor. c. good. d. repeatable.
You are the clinic nurse caring for a patient who was just told he was cancer free at 5 years after diagnosis. The patient has been told he is a cancer survivor. What is cancer survivorship?
A) The period just after being pronounced cancer-free 5 years after being diagnosed B) The time during which the patient lives with an active diagnosis of cancer C) A phase of cancer care that comes after primary treatment and lasts until cancer recurrence or the end of life D) The end of cancer care
A client is brought to the emergency department, does not speak English, and needs to have an emergency surgical procedure. The hospital has an interpreter available to explain the procedure and help with the consent form
When the interpreter arrives, the staff should make sure that: 1. The interpreter uses words the client is familiar with for the best understanding. 2. They ask the interpreter to translate as closely as possible the same words used by the professional staff. 3. The staff addresses the questions to the interpreter, so nothing is missed. 4. The client's family is included in the process and exchange of information.
The nurse notes that a client is prescribed zolpidem (Ambien) at a dose smaller than is recommended. What would the nurse review to determine the reason for the reduced dose?
Standard Text: Select all that apply. 1. Client's age 2. Blood-urea-nitrogen level 3. Creatinine level 4. Liver function studies 5. White blood cell count