Which of these is abnormal?
You are examining an elderly man and notice the following: decreased vibration sense in the feet and ankles, diminished gag reflex, right patellar reflex less than the left, and diminished abdominal reflexes.
A) Decreased vibration sense
B) Diminished gag reflex
C) Diminished right patellar reflex compared to the left
D) Diminished abdominal reflexes
C) Diminished right patellar reflex compared to the left
Asymmetry on any examination is usually reason for concern. The other changes are commonly associated with aging. You may consider looking for other neurologic signs on the right, although occasionally you may mistake an abnormally brisk reflex to be normal when compared to the other side. It is usually a good idea to question whether the opposite side is actually the abnormal one when you find asymmetry on examination.
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NPs are advanced practice nurses who
a. are required to have physician collaboration or supervision. b. function under a set of universal advanced practitioner laws. c. cannot receive direct reimbursement for their services. d. can diagnose and treat common and chronic conditions.
Prepare a dose of 110 mcg from a supply of 2 mg per 10 mL. Express your answer to the nearest tenth
What will be an ideal response?
A nurse plans to work in a rural hospital and commute from her suburban home. What response by the nursing manager is best?
a. "Are you sure that long commute won't be too much for you?" b. "Living that far away won't work with being on call on your days off." c. "That arrangement will give you the best of both worlds." d. "You should seriously consider moving into this community."