Describe the joint motion/position of the right/left ankles, right/left knees, and right/left hips of the person shown in this image.  ***Yes, I do realize this person is wearing pants and you cannot perfectly see the knees and hips.  Please use good judgement, common sense, anatomically based predictions, and feel free to explain your answers as needed.*** R Hip: abducted / L Hip: externally rotated R Knee: extended (perhaps slightly flexed) ; L Knee: slightly flexed R Ankle: inverted / L Ankle: slightly dorsiflexed due to slight knee flexion *This was the minimum information necessary for full credit.  More elaborate/detailed answers (e.g., the right hip is also slightly flexed and possibly internally rotated) are A-OK as long as the info is correct.  The biggest error I found in grading this questions was that MANY folks described the right ankle as supinated.  (A) Supination is an action that occurs at the ankle and the foot; (B) Supination involves plantarflexion and that ankle is not even a little plantarflexed…in fact you can see the tendon for tibialis anterior popping out on this gentleman’s shin, and that muscle gives dorsiflexion and inversion.  This is a beautifully inverted ankle.  (Important side note: A number of you referenced the tibialis anterior tendon as evidence that the knee was extended.  Please make sure you understand that a muscle will only have an action at a joint if it crosses the joint…and the tibialis anterior does not cross the anterior knee.)   *It is important to evaluate individuals performing movements IN clothes because it is VERY rare that anyone you work with will be wearing a speedo (or the like).  Using visuals like the left toes turned out as a clue that the HIP is externally rotated is a useful tool for your toolkit.  

Which of the following statements by the patient recently diagnosed with pernicious anemia indicates need for further teaching?

A septic patient receives the  fluid bolus resuscitation.  After the fluid bolus resuscitation, the patient’s MAP is 55 mm Hg.  What would the nurse anticipate next? 

Which of the following is considered a normal hemoglobin? 

Blood cultures should be drawn AFTER receiving first dose of broad spectrum antibiotics 

The nurse notices that the patient has butterfly rash over cheeks and has a rash to areas that are exposed to sunlight.  These patient’s are also at risk for nephritis and will develop proteinuria and hematuria.  What autoimmune disorder is this?

Which is a normal blood value for eosinophils?

The patient is brought to the emergency room and is experiencing an anaphylactic reaction from eating shellfish.  The nurse implements which immediate action?

A patient, who works as a landscaper, suffered an allergic reaction after being stung by a bee and is now stabilized and prepared for discharge.  During a discussion about prevention and management of further allergic reaction the nursing identifies a need for additional teaching based on which comment?

Which interventions apply in the care of a patient at high risk for an allergic response to a latex allergy?  Select all that apply