The nurse is preparing to conduct a Romberg test with a patient. For how many seconds should the nurse explain to the patient that the position will need to be held?
a. 10
b. 20
c. 30
d. 40
ANS: B
A negative Romberg test means that the patient experiences minimal swaying for up to 20 seconds. A patient who experiences swaying or who leans to one side is said to have a positive Romberg test. A. The test needs to be conducted for longer than 10 seconds. C. D. The test does not need to be conducted for 30 or 40 seconds.
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The nurse and a young mother are discussing ways to best prepare children for starting school. What would be the best suggestion for the nurse to make?
1. Teach the child the alphabet and how to count. 2. Encourage the mother to tell the child how much she will miss the child while the child is at school. 3. Help the child relate to other adults and separate from the mother by planning play dates and short stays with sitters. 4. Plan for an older child to accompany the child and introduce the child to the teacher on the first day of school.
A mother brings her daughter to the clinic after noticing the child's new swimsuit fits baggily on one side of her bottom and the child's right thigh looks quite odd compared to the other one
Which assessment question would provide the nurse the most important information? A. "Do her joints dislocate easily?" B. "Does she fatigue easily?" C. "Has your child been limping?" D. "When did you see her in a swimsuit last?"
A patient with primary hypertension comes to the clinic complaining of a gradual onset of blurry vision and decreased visual acuity over the past several weeks. The nurse is aware that these symptoms could be indicative of what?
A) Retinal blood vessel damage B) Glaucoma C) Cranial nerve damage D) Hypertensive emergency
Which behavior suggests that an older adult who has lost his life partner is successfully managing the exploration stage of the adjustment process?
a. He smiles when reminiscing about the trips they took together over the years. b. He explains that he can't make a decision about moving "just yet." c. He agrees to eat some of his "favorite soup" that his daughter has made. d. He is heard saying, "I'll never get over the loss, but my life has a purpose."