Visible or palpable extension of the elbow is caused by reflex contraction of which muscle?

a. Achilles
b. Biceps
c. Patellar
d. Triceps


D
The triceps tendon, when directly hit with the reflex hammer just above the elbow, will cause contraction of the triceps muscle and extension of the elbow.

Nursing

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The nurse traces the path of unoxygenated blood through the respiratory system to the distribution of oxygenated blood to the body. Place the events of reoxygenation in order. (Separate letters by a comma and space as follows: A, B, C, D)

a. Pulmonary artery takes blood to capillary system of the alveoli b. Blood enters the left atria via the pulmonary vein c. Blood enter the left ventricle d. Unoxygenated blood enters the right ventricle e. Blood enters the aorta f. CO2 diffused and oxygen infused into the blood in alveoli g. Unoxygenated blood enters the right atrium

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An enema is given

A. to remove feces from the colon and rectum. B. to flush the stomach before surgery. C. to cleanse the stoma and ostomy. D. immediately after a meal.

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A patient with moderate dementia does not remember her son's name. The son repeatedly questions the mother asking, "Do you know my name?" The mother invariably becomes agitated. The nurse can most effectively intervene by explaining to the son:

a. "Your mother is angry with you and is punishing you by ‘forgetting' who you are. Be patient and she'll get over it." b. "Your mother's dementia is preventing her from retaining information even for short periods of time. She senses your distress and becomes agitated." c. "You will need to reorient your mother often during your visits with her. With reinforcement, she may be able to begin to recall who you are." d. "Because you both become so distressed, it might be better if you come to see your mother less frequently and stay for only shorter periods of time."

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What other assessment questions should you ask her at this time?

What will be an ideal response?

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