A client with a wide-based, staggering, unsteady gait walks into the clinic. The gait would be correctly described as which of the following?

Cerebral stagger

Scissors gait

Parkinsonian gait

Cerebellar ataxia

Answer and Explanation

The Correct Answer is D

Choice A reason: Cerebral stagger isn’t a standard term; cerebral damage might cause spasticity, not wide-based ataxia. This lacks specificity for cerebellar signs like staggering, misaligning with the broad, unsteady gait tied to coordination loss in this client fully.
Choice B reason: Scissors gait, from cerebral palsy, shows stiff, crossed legs, not wide-based staggering. This spastic pattern contrasts with the unsteady, broad stance of cerebellar dysfunction, excluding it as the correct description for this presentation entirely here.
Choice C reason: Parkinsonian gait is shuffling with small steps and rigidity, not wide-based or staggering. This contrasts with the unsteady, broad stance of cerebellar ataxia, making it an incorrect match for the client’s observed walking pattern fully here.
Choice D reason: Cerebellar ataxia causes a wide-based, staggering gait due to coordination loss from cerebellar damage. This matches the client’s unsteady walk, reflecting impaired balance and motor control, accurately describing the observed gait pattern comprehensively here.

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Correct Answer is B

Explanation

Choice A reason: Small/moderate brown cerumen is normal, not a sign of infection, which shows pus or redness. Assessing further wastes effort, as cerumen protects the canal, and no symptoms like pain or hearing loss suggest pathology here requiring investigation.

Choice B reason: Documenting small/moderate brown cerumen as normal is correct, as it’s a protective earwax variant. Absent symptoms, this finding needs no intervention, aligning with standard practice to record typical ear assessments without escalating care unnecessarily in this case.

Choice C reason: Teaching hygiene isn’t needed for normal cerumen levels, which self-regulate. Excessive cleaning risks impaction or injury, and with no blockage or symptoms, this action overcomplicates a routine finding better left to natural ear processes here.

Choice D reason: Noting for ear drops assumes intervention for a non-issue. Normal brown cerumen doesn’t require softening or removal unless symptomatic, making this step premature and unnecessary, diverging from evidence-based care for typical ear findings fully.

A. "A diagnosis of BPH does not raise your risk of prostate cancer." B. "You should perform a testicular self-exam once a month after your shower." C. "It would be very unusual for a man your age to have cancer of the prostate." D. "Prostate cancer is slow growing and can be treated if found early."

Correct Answer is A

Explanation

Choice A reason: BPH, a benign growth, doesn’t increase prostate cancer risk; they’re distinct conditions. This reassures the client factually, addressing his fear directly with evidence, making it the most appropriate and supportive response in this context accurately.
Choice B reason: Testicular self-exams check testes, not prostate. This misdirects from BPH and prostate cancer concerns, offering irrelevant advice that fails to address the client’s specific fear about his diagnosis and its implications entirely here fully.
Choice C reason: Prostate cancer isn’t rare at 53; incidence rises with age. This false reassurance dismisses real risk, undermining trust and education, making it less appropriate than clarifying BPH’s non-link to cancer in this scenario comprehensively here.
Choice D reason: While true, prostate cancer’s slow growth doesn’t address BPH’s relation to it. This generic statement misses the client’s core fear about BPH as a risk factor, rendering it less targeted than the direct clarification fully here.

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A client with a wide-based, staggering, unsteady gait walks into the clinic. The gait would be correctly described as which of the following?

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Naxlex Comprehensive Predictor Exams

The nurse has completed the assessment of the client's ears. A small/moderate amount of brown cerumen was found in both ears. Which action by the nurse is warranted?

Correct Answer is B

Explanation

A 53 year-old client was recently diagnosed with benign prostatic hypertrophy (BPH). He is fearful and states, "My good friend just died from prostate cancer and I am concerned this will happen to me." What would be the most appropriate response by the nurse?

Correct Answer is A

Explanation

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A client with a wide-based, staggering, unsteady gait walks into the clinic. The gait would be correctly described as which of the following?