During a neurologic assessment, a nurse asks a patient to dorsiflex the foot against the resistance of the nurse's hand. The patient is unable to perform this action. Where does this assessment confirm that cord damage has occurred?
a. C4 to C5
b. L2 to L4
c. L5
d. S1
C
The muscle group that controls the feet is at L5.
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A patient with 2-year history of glaucoma enters the emergency department with signs and symptoms consistent with those caused by irreversible cholinesterase inhibitors. The nurse un-derstands that these findings are most likely the result of
a. overdose of echothiophate. b. a drug-to-drug interaction. c. poisoning by organophosphates. d. a severe adverse reaction to the medication.
A client with a history of malingering pain tells the nurse that he needs a prescription for pain medication. Which of the following should the nurse do first to assist this client?
1. Ask the physician for a pain medication prescription for the client. 2. Remind the client that he does not have pain but just wants the medication. 3. Thoroughly assess the client for pain. 4. Suggest the client seek counseling for his pain medication-seeking behavior.
The nurse provides which instructions to the client following delivery regarding care of the episiotomy site to prevent infection? Select all that apply
1. Change the perineum pads three times a day. 2. Take a warm sitz baths three times a day. 3. Wipe the perineum from front to back after voiding and defecation. 4. Use warm water to rinse the perineum after elimination. 5. Report a foul-smelling discharge.
The nurse is preparing to assess the temperature of a child post oral surgery suspected of having an infection. Which route should the nurse use?
A. Axillary. B. Rectal. C. Tympanic. D. Oral.