The patient has lower motor neuron injuries. What type of reflexes should the nurse expect to assess in this patient?
1. decreased
2. increased
3. normal
4. exaggerated
Correct Answer: 1
The finding of abnormally decreased reflexes points to disorders or diseases involving lower motor neuron impairment. The patient's reflexes will not be increased, normal, or exaggerated.
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When a patient asks why he must be transferred to a subacute unit from the hospital, the nurse replies that:
a. reimbursement guidelines limit adults' stays in an acute setting. b. the physician can oversee care more closely in a subacute setting. c. financial restrictions of insurance limit time spent in an acute care setting. d. cost and services at the acute care setting are the same.
The nurse is documenting care in the medical record. The nurse provides narrative documentation only for abnormal assessment findings. Which type of charting is the nurse using based on this example?
A) Computerized documentation B) Charting by exception (CBE) C) SOAP charting D) Focus charting
An older patient in a long-term care facility does not sleep much at night and prefers to stay up late reading. The patient takes "power naps" during the day. How should the nurse respond to this patient's plan to acquire adequate sleep?
1. Naps are sufficient to restore the missed sleep time. 2. Older people do not need as much sleep as younger adults. 3. Napping may simply contribute to the problem getting to sleep at night. 4. There is no problem as long as the total number of hours slept per 24-hour period is at least 8.
A client 6 hours' postpartum is having difficulty voiding. The nurse identifies a nursing diagnosis of impaired urinary elimination that is secondary to which condition?
a. Excessive blood loss during delivery c. Rapid labor b. Third-degree lacera-tion d. Multiparity