The nurse documents that a client's patellar reflex is a +4. This means the reflex is:
a. absent.
b. present but diminished.
c. normal.
d. hyperactive with possible clonus.
ANS: D
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Which are the energy-providing food groups? (Select all that apply.)
a. Carbohydrates b. Fats c. Proteins d. Vitamins e. Minerals
Identify the purposes of chest drainage: (Select all that apply)
a. Drains air, blood and fluid from pleural space b. Restores positive pressure in chest cavity c. Restores negative intrapleural pressure d. Allows lung to collapse and rest e. Allows route for medication administration
The nurse is teaching a patient with a new prescription for alprazolam [Xanax]. Which statement is the most appropriate to include in the teaching plan?
A. "When it is time to discontinue this drug, you will need to taper it off slowly." B. "Protect your skin from the sun to prevent rash and exaggerated sunburn." C. "Increase your intake of fluid and high-fiber foods to prevent constipation." D. "Take this medication on an empty stomach at least 2 hours after meals."
The nurse is assisting in the surgical holding area. The nurse understands that which of the following schedules are recommended for prophylactic antibiotics?
a. 4 hours prior to surgery b. 1 hour prior to surgery c. During surgery d. Within the first 2 hours postoperatively