The nurse interprets the physician's finding of a grade of 2/5 on the Achilles tendon to mean what has occurred?
a. Hyperreflexive response for the fifth and sixth cervical nerves
b. Exaggerated response for the seventh and eighth cervical nerves
c. Normal response for the first and second sacral nerves
d. Weak response for the second through the fourth lumbar nerves
C
A score of 2/5 is a normal grade. The Achilles tendon reflex evaluates the first and second sacral nerves.
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A nurse prepares a care plan for a Japanese client. What is the most important rationale for including favorite or Japanese foods for this client?
A) It prevents malnutrition. B) It prevents clients from becoming agitated. C) It ensures the client's cooperation with scientifically based treatment. D) It conveys acceptance of the client's beliefs and identity.
A woman in labor receives meperidine (Demerol) for pain. The nurse caring for the infant will observe the infant closely for:
a. congenital anomalies. b. excessive crying and sneezing. c. respiratory depression. d. tremors and hyperreflexia.
A client begins snoring and is sleeping lightly. The stage of sleep is
A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4
During a history, a patient tells the nurse that a red string is worn to protect HEALTH. What heritage may this patient be from? Select all that apply:
1. Japanese 2. French 3. Swedish 4. Italian