When assessing a patient, the nurse elicits the Babinski reflex on the left foot. The nurse knows this response can indicate the existence of
a. an upper motor neuron lesion on the right side.
b. an upper motor neuron lesion on the left side.
c. a lower motor neuron lesion on the right side.
d. a lower motor neuron lesion on the left side.
A
The Babinski sign is the result of an upper motor neuron lesion on the opposite (contralateral) side of the body. Lower motor neuron lesions normally result in flaccid paralysis.
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The nurse educator is conducting a seminar at an assisted living village regarding the importance of staying active after the age of 65. Which statements are appropriate for the nurse to include in the seminar?
Select all that apply. 1. "Participating in activities enhances your ability to remain productive." 2. "Older adults who lack intellectual challenges may demonstrate cognitive declines." 3. "Slowing down as you age will increase your quality of life." 4. "Retirement will promote rest and relaxation." 5. "It is important for older adults to have opportunities to develop and maintain friendships."
A nurse is teaching an adolescent about primary hypertension. Which statement made by the adolescent indicates an understanding of primary hypertension?
a. Primary hypertension should be treated with diuretics as soon as it is detected. b. Congenital heart defects are the most common cause of primary hypertension. c. Primary hypertension may be treated with weight reduction. d. Primary hypertension is not affected by exercise.
After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?
a. Elevated thyroid-stimulating hormone (TSH) b. Normal TSH c. Low TSH d. Undetectable TSH
The nurse is interviewing the family caregiver of a 10-year-old child. The caregiver has three other children with her and one of them refers to her as "mama." Which question should the nurse ask to determine this family's structure?
A) "Do all of these children have the same father?" B) "Who all lives in your home?" C) "Are you the grandmother of any of these children?" D) "I don't see that you are wearing a wedding ring, are you married?"