During a neurologic examination, the nurse finds bilateral pronator drift and diminished ability to raise legs against resistance. These findings are consistent with what neurologic deficit?
A) Damage to motor neuron pathways
B) Hyperthyroidism
C) Demyelinization of afferent fibers
D) Cerebral cortex hypoperfusion
A
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While applying a warm wet soak to the client's left leg, the unlicensed assistive personnel (UAP) notes a small burn on the inside of the calf. The UAP informs the RN. Which response by the nurse is the most appropriate?
1. "Please notify the health care provider." 2. "Describe the burn in detail, please." 3. "I'll go take a look at it." 4. "Make sure you document it and complete an incident form."
A dermatologist has asked the nurse to assist with examination of a patient's skin using a Wood's light. This test will allow the physician to assess for which of the following?
A) The presence of minute regions of keloid scarring B) Unusual patterns of pigmentation on the patient's skin C) Vascular lesions that are not visible to the naked eye D) The presence of parasites on the epidermis
A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this client?
A) Knowledge Deficit: Infant care B) Impaired Health Maintenance C) Readiness for Enhanced Parenting D) Readiness for Enhanced Coping
The patient receives imipramine (Tofranil) as treatment for depression. He is admitted to the emergency department following an intentional overdose of this medication. What will the best assessment by the nurse include?
1. The patient's cardiac status 2. The patient's liver function 3. The patient's renal status 4. The patient's neurological function