During the assessment of deep tendon reflexes, the nurse finds that a patient's responses are bilaterally normal
What number is used to indicate normal deep tendon reflexes when the documenting this finding? ____
ANS:
2
Responses to assessment of deep tendon reflexes are graded on a 4-point scale. A rating of 2+ indicates normal or average response. A rating of 0 indicates no response, and a rating of 4+ indicates very brisk, hyperactive response with clonus, which is indicative of disease.
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What makes home health care documentation unique?
a. Some charting is retained at the hospital. b. The physician's office needs separate charting. c. Different health care providers need access. d. The physician is the pivotal person in the charting.
At its start, shared governance requires the education and support of organizational executives, managers, and point-of-care staff. The challenge for administrators in creating a shared gover-nance is (select all that apply):
a. implementing the philosophy of accoun-tability. b. relinquishing control of decision-making power. c. creating the structure that supports shared governance. d. developing a culture that supports, encou-rages, and maintains it. e. justifying the cost in terms of personnel time, effort, and financial commitment.
When caring for a client with a history of alcoholism the nurse recognizes the client is at increased risk for which of the following conditions?
A) pernicious anemia B) folic acid deficiency C) hemolytic anemia D) Von Willibrand's disease
A nurse is asking questions about a client's sexual history. It is important for the nurse to:
A) evaluate the client's past history of sexual dysfunction. B) provide a time that enhances openness. C) collect data in a quiet, private environment. D) pull the curtains in a semiprivate room.