While observing the neurologist complete a neurological examination the nurse notes that a patient does not have a left patellar reflex. In which areas should the nurse consider the patient has a dysfunction? (Select all that apply.)
a. Spinal cord
b. Femoral nerve
c. Anterior fibula muscle
d. Posterior tibial muscle
e. Quadriceps femoris muscle
ANS: A, B, E
If the patellar reflex is absent, the problem might be in the quadriceps femoris muscle, the femoral nerve, or the spinal cord itself. C. D. The absence of a patellar reflex does not suggest that a problem exists within the anterior fibula or posterior tibial muscles.
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The nurse is teaching the significance of good nutrition on fetal development to a group of young women. What factors will the nurse discuss? Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Vitamins and folic acid are important before conception. 2. Maternal nutrition may predispose to the development of adult coronary heart disease, hypertension, and diabetes. 3. Glucose, amino acids, and fatty acids are of high importance. 4. Nutrition is important only during the first trimester. 5. Maternal nutrition can affect brain and neural tube development.
The dosage strength of this medication is ________.
What will be an ideal response?
The nurse has been teaching a caregiver about donepezil (Aricept). The nurse knows that teaching has been effective by which of the following statements?
a. "Let's hope this medication will stop the Alzheimer's disease from progressing any further." b. "It is important to take this medication on an empty stomach." c. "I'll be eager to see if this medication makes any improvement in concentration." d. "This medication will slow the progress of Alzheimer's disease temporarily."
A victim of intimate partner violence tells a nurse, "I don't' know how I'd live if I left my husband. And what about my children? I have no skills and haven't worked since I was a teenager."
When developing the plan of care for this client, which nursing diagnosis would most likely apply? A) Anxiety related to the physical escalation of the violence B) Impaired parenting related to family violence C) Low self-esteem related to lack of confidence in ability D) Risk for violence related to inadequate coping abilities