A nurse assesses the left plantar reflexes of an adult client and notes the response shown in the photograph below: Which action should the nurse take next?
a. Contact the provider with this abnormal finding.
b. Assess bilateral legs for temperature and edema. c.
Ask the client about pain in the lower leg and calf.
d. Document the finding and continue the assessment.
ANS: A
This finding indicates Babinski's sign. In clients older than 2 years of age, Babinski's sign is considered abnormal and indicates central nervous system disease. The nurse should notify the health care provider and other members of the health care team because further investigation is warranted. This finding does not relate to perfusion of the leg or to pain. This is an abnormal assessment finding and should be addressed immediately.
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During early civilization _____________ ________ performed witchcraft and rituals to induce the bad spirits to leave the body of the ailing person
ANS:
The nurse discusses dental health with an 81-year-old client. Which of the following statements, when made by the client is identified as true?
A) "Everyone loses their teeth, it's natural.". B) "I can't get any cavities any more, only young people get them.". C) "Fluoride treatments might help strengthen the enamel on my teeth.". D) "There is no treatment for my bad teeth and poor appetite.".
A client has four children and is pregnant for the fifth time. What term would the nurse use to describe this client?
A) Primigravida B) Primipara C) Nullipara D) Grand multipara
A client asks the nurse, "The pamphlet I read about depression mentions that psychosocial factors
influence depression. What does that mean?" Examples a nurse could cite to support the premise that a client's depression can be influenced by psychosocial factors include (more than one answer may be correct) A. having a hostile and overinvolved family. B. having two first-degree relatives with bipolar disorder. C. feeling strong guilt over having an abortion when one's religion forbids it. D. experiencing the death of a parent a month before the onset of depression. E. experiencing symptom remission when treated with antidepressant medication.