While assessing pain discrimination, a client correctly identifies, with eyes closed, a sharp sensation on the right hand when touched with a pin. How does the nurse then proceed with the examination?
a. Touch the pin on the same area of the left hand.
b. Touch the pin on the right forearm.
c. Touch the pin on the right upper arm.
d. Touch the right hand with a drop of cold water.
A
If testing is begun on the hand and the client correctly identifies the pain stimulus, testing more proximal parts of that extremity is not necessary because, if the distal tract is intact, so are the proximal areas. Temperature discrimination is not necessary because the same tract transmits both pain and temperature sensation.
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A nurse teaches clients about patterns of inheritance for genetic disorders among adults. Which disorders have an autosomal dominant pattern of inheritance? (Select all that apply.)
a. Breast cancer b. Alzheimer's disease c. Hemophilia d. Huntington disease e. Marfan syndrome f. Cystic fibrosis
An older male adult who has hyperuricemia complains of severe pain in the right ankle. Which instructions should the nurse include in patient teaching to enhance the action of medication the patient takes for his condition?
a. Avoid dehydration by drinking water. b. Take aspirin when joints are red and hot. c. Comply with antihypertensive diuretic regimen. d. Avoid game meat, asparagus, and alcohol.
The nurse explains the action of a beta-hydroxy-beta-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor as inhibiting what?
A) An enzyme that controls the final step in production of cellular cholesterol B) An enzyme used immediately for energy C) An enzyme that combines with proteins to become chylomicrons D) An enzyme used to make bile acids
People suffering from pernicious anemia should:
A. be given an injection of about 100 mcg of cobalamin every month. B. be given 500 mcg of cobalamin intravenously once a month. C. be given 1 mcg of cobalamin orally every day. D. be given 100 mcg of cobalamin intravenously on a daily basis.