An ICU nurse, in testing the reflexes of a 3-month-old baby girl, strokes the lateral aspect of the sole of the foot to test for possible nerve damage. In response, the child fans her toes and dorsiflexes her big toe
What is the name of this reflex, and is the child's response normal?
A) Moro reflex; abnormal
B) Rooting reflex; normal
C) Grasp reflex; abnormal
D) Babinski reflex; normal
D
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A 71-year-old man has visited his family physician for a checkup, during which the physician has initiated a discussion about the client's sexual function
Which of the following phenomena would the physician most likely consider pathological rather than age-related changes? A) The presence of an enlarging prostate gland B) A decrease in the size and firmness of the client's testes C) Cessation of androgen production D) A decrease in the force of the man's ejaculation
Pain threshold varies widely among different individuals
Indicate whether the statement is true or false.
A novice nurse works with a nurse preceptor on a busy medical surgical unit. Which action by the novice nurse requires intervention by the nurse preceptor when observing the novice nurse performing hand hygiene?
A. Washing hands with warm soapy water for 15 seconds. B. Using a waterless foam sanitizer before entering the room of a client. C. Cleaning under the fingernails with an orangewood stick. D. Drying hands thoroughly with fingers pointing up.
The nurse has provided teaching for a client prescribed clonazepam (Klonopin). Which is an important outcome when evaluating the client's understanding of the teaching?
A. The client will verbalize the signs of developing Stevens-Johnson rash. B. The client will verbalize the importance of dietary restrictions related to this drug. C. The client will verbalize the importance of having routine laboratory work. D. The client will verbalize the consequences of abruptly stopping the drug.