A patient was struck in the jaw and had hyperextension of the cervical spine. If the patient has central cord syndrome, what would the nurse most expect?
A) Full loss of motor function below the lesion
B) Ipsilateral increased cutaneous pain at the lesion
C) Arm paralysis with intact motor function in the legs
D) Full motor paralysis and loss of touch sensation below the lesion
C
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The nurse assesses a boggy uterus with the fundus above the umbilicus and deviated to the side. What should the nurse's next assessment be?
a. Fullness of the bladder b. Amount of lochia c. Blood pressure d. Level of pain
The nurse educator is teaching a group of student nurses regarding the various layers of the heart. Which statements will the educator include?
Select all that apply. A) "The endocardium covers the entire heart and great vessels." B) "The endocardium is the muscular layer of the heart that contracts during each heartbeat." C) "The outermost layer of the heart is the epicardium." D) "The myocardium consists of myofibril cells." E) "The myocardium has four layers."
The nurse who is providing care for an older adult patient who has dementia has read in the patient's chart that she has developed skin breakdown in her perineum as a result of urinary and fecal incontinence. The nurse knows to specifically assess:
A) The skin in and around the woman's gluteal crease B) The woman's labia majora and labia minora C) The woman's urethral meatus and the adjacent mucus membranes D) The area between the woman's vagina and rectum
A client is complaining of abdominal pain described as dull, aching, and cramping. The nurse would record this pain as
a. parietal. b. referred. c. spasmodic. d. visceral.