A patient has an upper motor neuron lesion. The nurse would be correct in assessing for which of the following during assessment of the patient's lower extremities?

A) Muscle spasticity
B) Hyporeflexia
C) Decreased muscle tone
D) Muscle atrophy


Ans: A
Feedback: Upper motor neuron lesions cause muscle spasticity, increased muscle tone, and loss of voluntary control. Lower motor neuron lesions cause decreased muscle tone, hyporeflexia, and muscle atrophy. Refer to Table 60-04.

Nursing

You might also like to view...

An LPN has been working evening shift on the oncology unit for five years. The nurse gives the nurse manager her resignation and explains that she is saddened by oncology patients and finds it difficult to come to work

The best strategy for retaining this nurse is to offer: 1. An increase in salary. 2. To facilitate a transfer to another nursing unit. 3. A position on day shift. 4. To rewrite the job description.

Nursing

The nurse caring for a client taking SSRIs will develop evaluation parameters and outcome criteria

related to a. mood improvement. b. logical thought processes. c. reduced levels of motor activity. d. increased extrapyramidal symptoms.

Nursing

A 10-year-old child is scheduled to have surgery tomorrow. To minimize the trauma this child may experience as a result of hospitalization, which action would be appropriate for the nurse caring for this child?

A) Sedate the child and allow unlimited TV B) Briefly explain the procedure and tell the child not to worry C) Encourage the child to ask questions and express fears D) Joke with the child and arrange a visit from a clown

Nursing

Which are goals of community-oriented nursing leadership? Select all that apply

a. To work with others to ensure a healthy community b. To serve as an advocate for vulnerable and high-risk populations c. To work with inter-professional teams to design ways to coordinate care d. To make policies for the public good

Nursing