A nurse is providing morning care for a female patient who has been admitted for the treatment of a pressure ulcer. The patient is a quadriplegic following a spinal cord injury several years ago
While providing a bed bath to the patient, the nurse notes that many of her muscles are rigid and in a state of flexion. The nurse would document the presence of:
A) Spasticity
B) Tonus
C) Flaccidity
D) Atonia
A
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A client had the following clear liquid dinner:
4 tablespoons of apple juice 8 oz beef broth 4 oz orange gelatin 1/2 pint of tea What is the total intake the nurse should document in milliliters on the intake and output form? A) 520 B) 590 C) 640 D) 670
Studies indicate that which child has the highest risk for being sexually victimized?
a. Boy, age 19 b. Boy, age 13 c. Girl, age 17 d. Girl, age 5
A patient with bipolar disorder has frequent manic episodes alternating with depressive episodes
The prescriber orders risperidone (Risperdal) in addition to the lithium (Lithobid) that the patient is already taking. The patient asks the nurse why another drug is needed. The nurse will tell the patient that the risperidone is used to: a. elevate mood during depressive episodes. b. help control symptoms during manic episodes. c. manage tremors associated with lithium use. d. prevent recurrence of depressive episodes.
A patient learns that abdominal pain is originating from the liver. The nurse should explain to the patient that the impulses from receptors in the internal organs to the central nervous system are transmitted from which type of neurons?
a. Interneurons b. Efferent neurons c. Somatic sensory neurons d. Visceral sensory neurons