A nurse tests a reflex on 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. The expected response is:
a. Flexion of the right toes.
b. Extension of the right ankle.
c. Dorsiflexion of the right foot.
d. Fanning of the toes of the right foot.
ANS: D
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The nurse is completing an assessment on a patient who was just admitted from the emergency department. Which assessment findings would require immediate attention? Select all that apply
a. Temperature: 38.6 ° C b. Systolic blood pressure: 150 mm Hg c. Respiratory rate: 22 breaths per minute d. Heart rate: 130 beats per minute e. Oxygen saturation: 95% f. Sudden restlessness
The nurse is caring for a female patient whose tests confirm she is 10 weeks pregnant and has contracted tuberculosis. The health care provider orders a combination of antimycobacterials
What combination of drugs would the nurse identify as safest for this pregnant patient? A) Isoniazid, ethambutol, and rifampin B) Rifabutin, streptomycin, and rifampin C) Capreomycin, cycloserine, and ethionamide D) Dapsone, ethambutol, and cycloserine
A(n) ________ medication is administered to regulate the heart rate or rhythm.
Fill in the blank(s) with the appropriate word(s).
The patient is receiving bumetanide (Bumex) and asks the nurse, "What is all this about 'loops' in my medicine?" What is the best response by the nurse?
1. "This medication reabsorbs potassium in the loop of Henle in your kidney. It is safer than other diuretics." 2. "This is a loop diuretic, which means it works in the proximal loop of your kidney. Not all diuretics work the same way." 3. "This is a loop diuretic, which refers to where it acts in your kidney. Not all diuretics work the same way." 4. "This medication blocks sodium reabsorption in what is known as Bowman's capsule. Not all diuretics work the same way."