The nurse is assessing a patient's gait. Which findings would the nurse consider normal? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The patient walks with a wide base of support.
2. The arms swing according to gait phase.
3. The patient shuffles when walking.
4. The gait is jerky, with quick movements.
5. The patient holds the arms out from the body in slight extension.
1,2
Rationale 1: The patient should walk with a wide base of support to prevent falls.
Rationale 2: Coordinated arm swings are considered a normal part of the gait.
Rationale 3: A shuffling gait may indicate neurological disorders such as Parkinson's disease.
Rationale 4: The gait should be smooth and rhythmic, despite speed.
Rationale 5: Some neurological disorders are characterized by a slight extension of the arms to maintain balance.
You might also like to view...
A serious conflict between a nurse and a nursing assistant erupted into a shouting match in the hallway. The nurse attempted to slap the nursing assistant
What conflict responses are appropriate for the assistant? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Accommodating 2. Withdrawal 3. Avoiding 4. Smoothing 5. Negotiation
Which is a preparation used in the spring of each year by individuals of the Black culture to protect HEALTH?
A. Rubbing a sulfur and molasses preparation on the back B. Wearing asafetida around the neck C. Drinking blackstrap molasses D. Drinking cod liver oil weekly
A woman admitted, "I did fall once, but it was an accident that I'm sure won't happen again." Which of the following responses would be most appropriate for the nurse? (Select all that apply.)
a. "Are you getting lots of calcium and vitamin D? Are you drinking milk or taking calcium pills?" b. "Do you have a couple glasses of wine each evening to relax you before you go to bed?" c. "Do you live in a one-story house and are your floors even without rugs to trip you up?" d. "Let me give you some balance and leg muscle exercises to practice at home each day." e. "Remember that if you start to fall, fall sideways if you can to minimize injury." f. "Review what medications you are taking."
A patient has chronic, severe asthma and takes many medications during the day. The patient reports difficulty falling asleep at night. What medication does the nurse ask about the patient taking?
a. Barbiturates b. Theophylline (Theo-24) c. Furosemide (Lasix) d. Haloperidol (Haldol)