The nurse asks the patient to stand with feet together, arms resting at the sides, with eyes open and then with the eyes closed. Which response by the patient indicates a problem in the cerebellum?
a. Maintains balance when eyes are open, but loses balance with eyes closed
b. Is unable to stand upright after turning around in a circle once
c. Steps sideways when standing with feet together and eyes closed
d. Sways slightly and maintains upright posture with feet together
ANS: C
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A client diagnosed with schizophrenia spectrum disorder is prescribed clozapine (Clozaril). Which client symptoms, related to the side effects of this medication, should prompt a nurse to intervene immediately?
1. Sore throat, fever, and malaise 2. Akathisia and hypersalivation 3. Akinesia and insomnia 4. Dry mouth and urinary retention
The nurse is checking a newborn for the presence of Ortolani and Barlow signs. For which health problem are these assessments used?
A) Club foot B) Cleft palate C) Hip dysplasia D) Tracheoesophageal fistula
A child needs a breathing treatment and suctioning to produce a sputum specimen. Which is cor-rect?
a. You can give the breathing treatment. b. An RN or respiratory therapist tells you what breathing treatment to give. c. The nurse suctions the trachea for the specimen. d. You can assist by suctioning the trachea.
The nurse reinforces the information the dietician has given the parents of a child with celiac disease by reminding the parents that the child should focus on foods that contain: (Select all that apply.)
a. Wheat b. Rice c. Corn d. Oats e. Soy