The nurse is preparing to assess a client's reflexes. What equipment should the nurse gather before entering the room?

1. Sterile gloves
2. Clean gloves
3. Percussion hammer
4. Penlight


Correct Answer: 3
Rationale 1: Sterile gloves are not needed to test reflexes.
Rationale 2: Clean gloves are not needed to test reflexes.
Rationale 3: A percussion hammer is used to test reflexes.
Rationale 4: A penlight is not used to test reflexes.

Nursing

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The patient is complaining of a severe sore throat and fever and has large, tender cervical lymph nodes, deeply inflamed pharynx with exudate, and a diffuse sandpaper-like rash. What is the most likely cause?

A) Mononucleosis B) Streptococcal pharyngitis C) Viral pharyngitis D) Candida albicans

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A nurse is constructing a genogram for a family. Which of the following describes its im-portance?

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Nursing

The nurse is caring for a patient who has a heart rate of 98 beats per minute and a blood pressure of 82/58 mm Hg. The patient is lethargic, is complaining of muscle weakness, and has had gastroenteritis for several days

Based on this patient's vital signs, which sodium value would the nurse expect? a. 126 mEq/L b. 140 mEq/L c. 145 mEq/L d. 158 mEq/L

Nursing