The nurse assessed a client's deep tendon reflexes as being normal. Which of the following will the nurse document in the client's medical record?
1. 4+
2. 3+
3. 2+
4. 1+
3
A deep tendon reflex of normal would be documented 2+. A deep tendon reflex that is very brisk would be documented as 4+. A deep tendon reflex being more brisk than normal would be documented as 3+. A deep tendon reflex that is sluggish would be documented as 1+.
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An elderly male client undergoes a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments such as liners and protective pants
Which of the following suggestions should the nurse offer to the client to maintain skin integrity? A) Avoid the application of moisture sealant. B) Expose the affected area to air. C) Use scented sprays or perfumes. D) Avoid using an electric room deodorizer.
A nurse is working in a public health department. Which of the following would most likely be the focus of the care that is provided?
a. Home visiting and hospice care b. Care of communicable diseases c. Health maintenance and health promotion d. Illness prevention
A nurse is providing short-term home care for an elderly client with depression. What should the nurse suggest that a caregiver do when taking respite from caring for the client?
A) Participate in recreational activities every day. B) Eat a large breakfast with a smaller lunch and dinner. C) Avoid sleeping during the day or taking short naps. D) Instruct client's friends to avoid visits during home care.
When the nurse instructs a patient about breast self-examination, the primary purpose of the patient education is
A) Wellness promotion B) Restoration of function C) Illness prevention D) Promotion of coping