A critical care nurse is documenting her assessment of a client she is caring for. The client is status postresection of a brain tumor. The nurse documents that the client is flaccid on the left. What does this mean?

A) The client has an abnormal posture response to stimuli.
B) The client is not responding to stimuli.
C) The client is hyperresponsive on the left.
D) The client is hyporesponsive on the left.


B
Feedback:
Flaccidity is when the client makes no motor response to stimuli. Flaccidity is a motor assessment.

Nursing

You might also like to view...

The nurse is obtaining history and physical information on a new patient attending her first prenatal visit. After recording current height, weight, and BMI, it is determined that the patient is obese. What complications related to obesity will the nurse

a. Gestational diabetes b. RH Incompatibility c. Hypertension d. Pre-eclampsia e. Infection

Nursing

The client reports difficulty sleeping over the past few weeks and is interested in herbal remedies

During the data collection, the client voices a belief that the sleeplessness is due in part to recent problems with hay fever and nasal congestion interfering with "drifting off" at night. Which of the following natural remedies should be avoided by the client? A) A glass of warm milk B) A small turkey sandwich C) A cup of chamomile tea D) Lemon balm

Nursing

A patient with newly diagnosed type 1 diabetes is being transitioned from an infusion of intravenous (IV) regular insulin to an intensive insulin therapy regimen of insulin glargine (Lantus) and insulin aspart (NovoLog)

How should the nurse manage this transition in insulin delivery? a. Administer the insulin glargine and continue the IV insulin infusion for 24 hours. b. Administer the insulin glargine and discontinue the IV infusion in several hours. c. Discontinue the IV infusion and administer the insulin aspart with the next meal. d. Discontinue the IV infusion and administer the Lantus insulin at bedtime.

Nursing

The nurse is instructing a client prior to a colonoscopy. The client states, "Why do I have to drink this disgusting liquid?" The nurse is most correct to verbalize the goal of the oral preparation as which of the following?

A) "To allow ease of passage of the scope through the colon" B) "To decrease pain associated with fecal matter being pressed against the colon wall" C) "To cleanse the bowel to promote clear visualization of structures" D) "To eliminate gas from the internal portion of the colon"

Nursing