A client's response to assessment of the plantar reflex is to fan the toes and dorsiflect the big toe. The nurse should recognize that this response is indicative of:
a. a normal response c. corticospinal disease
b. stereognosis d. a brain tumor
C
A fanning of the toes and dorsiflexion of the big toe in response to the assessment of plantar reflex is called a positive Babinski's reflex and indicates corticospinal disease and is the most important abnormal superficial reflex.
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The Department of Nursing with a health care organization is planning steps that reflect the Joint Commission's recommendations for cultural competence. What will the nursing department include in these steps?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Value diversity B. Assess themselves C. Manage difference D. Acquire cultural knowledge E. Hire staff from different cultures
Which of the following statements are true regarding health information technology (HIT) applications in nursing services (select all that apply)?
a. HIT involves nursing administration, clinical informatics, and effectiveness re-search. b. Health information data allow nursing leaders to make informed decisions re-garding patient care. c. HIT is used primarily for financial deci-sion making. d. Clinical decision support utilizes tools for downloading, collecting, organizing, and analyzing data. e. HIT is used by senior leaders only.
The client complains to the nurse about the noise at the nurse's station at night. The nurse's best response is:
a. "I appreciate your reporting this to me." b. "Thank you for contributing this information." c. "What do you want me to do about this?" d. "Are you saying that you are unable to rest at night because of the noise?"
The nurse is providing medications to a patient with asthma. What does the nurse recognize about the use of corticosteroid inhalers for this patient?
A. They are used often with methylxanthines. B. They should be provided after the bronchodilator. C. They are used only for acute asthma attacks. D. They are used to activate muscarinic receptors.