The nurse notes that a client has ataxi

Plantar flexion

Romberg

Achilles reflex

Patellar reflex

Answer and Explanation

The Correct Answer is B

Choice A reason: Plantar flexion is not a test that the nurse uses to gain more information about this client's gait because it is a movement of the foot that points the toes downward, not a measure of balance or coordination.

Choice B reason: Romberg is a test that the nurse uses to gain more information about this client's gait because it is a measure of balance and proprioception, which are often impaired in ataxiA. The test involves asking the client to stand with their feet together and arms at their sides, first with their eyes open and then with their eyes closed, while observing for swaying or fallinG.

Choice C reason: Achilles reflex is not a test that the nurse uses to gain more information about this client's gait because it is a measure of the reflex response of the calf muscle when the Achilles tendon is tapped, not a measure of balance or coordination.

Choice D reason: Patellar reflex is not a test that the nurse uses to gain more information about this client's gait because it is a measure of the reflex response of the quadriceps muscle when the patellar tendon is tapped, not a measure of balance or coordination.

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Correct Answer is ["A","E"]

Explanation

The correct answers are:

a) Transport a urine culture sample to the laboratory. Correct

This is a client care intervention that the PN can assign to the UAP. Transporting a urine culture sample to the laboratory is a routine and non-invasive task that does not require clinical judgment or skill. The UAP should follow the standard precautions and protocols for handling and labeling the specimen.

b) Obtain a post-voided residual (PVR) volume.

This is not a client care intervention that the PN can assign to the UAP. Obtaining a post-voided residual (PVR) volume is a procedure that requires clinical judgment and skill, as it involves using a bladder scanner or catheterizing the client to measure the amount of urine left in the bladder after voiding.

The UAP is not trained or authorized to perform this task, and it should be done by the PN or another licensed nurse.

c) Teach the client with ﬂuid restrictions how to measure urine output.

This is not a client care intervention that the PN can assign to the UAP. Teaching the client with ﬂuid restrictions how to measure urine output is an educational activity that requires clinical judgment and skill, as it involves assessing the client's learning needs, providing clear and accurate instructions, and evaluating the client's understanding and compliance. The UAP is not trained or authorized to perform this task, and it should be done by the PN or another licensed nurse.

d) Irrigate an indwelling urinary catheter for a client with bladder suspension.

This is not a client care intervention that the PN can assign to the UAP. Irrigating an indwelling urinary catheter for a client with bladder suspension is a procedure that requires clinical judgment and skill, as it involves inserting sterile ﬂuid into the bladder through the catheter to ﬂush out any clots, debris, or bacteria. The UAP is not trained or authorized to perform this task, and it should be done by the PN or another licensed nurse.

e) Empty bedside drainage unit for a client with indwelling urinary catheter. Correct

This is a client care intervention that the PN can assign to the UAP. Emptying bedside drainage unit for a client with indwelling urinary catheter is a routine and non-invasive task that does not require clinical judgment or skill. The UAP should follow the standard precautions and protocols for emptying, measuring, and recording the urine output.

A. Collaborate with physical therapist to develop programs for injured employees to return to work. B. Help plant workers identify signs of carpal tunnel syndromE. C. Organize an influenza immunization campaign. D. Teach plant workers about proper lifting techniques.

Correct Answer is B

Explanation

Choice A reason: Collaborating with physical therapist to develop programs for injured employees to return to work is not a secondary prevention strategy, but rather a tertiary prevention strategy, which involves restoring and rehabilitating the health and function of individuals who have experienced illness or injury.

Choice B reason: Helping plant workers identify signs of carpal tunnel syndrome is a secondary prevention strategy, which involves detecting and treating health problems early before they become more serious or complicateD.

Choice C reason: Organizing an influenza immunization campaign is not a secondary prevention strategy, but rather a primary prevention strategy, which involves preventing or reducing the occurrence or severity of health problems before they happen.

Choice D reason: Teaching plant workers about proper lifting techniques is not a secondary prevention strategy, but rather a primary prevention strategy, which involves preventing or reducing the occurrence or severity of health problems before they happen.

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The nurse notes that a client has ataxi

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply)

Correct Answer is ["A","E"]

Explanation

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions shouldthe nurse include as a secondary prevention strategy?

Correct Answer is B

Explanation

A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily. Which of the following levels of prevention is being used by the nurse?

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

An emergency room nurse is performing secondary triage on clients transported from the scene of a chemical spill. After caring for the clients, the EMS workers complain of nausea and dizziness. Which immediate interventions need to be taken by the triage nurse? SELECT ALL THAT APPLY

The practical nurse (PN) is assisting with the admission of a client with complications of left-sided heart failure. Which focused assessment should the PN implement first?

The facility education nurse is providing a group of new nurses education regarding weaponized biological threats. When discussing anthrax, which of the following should be included as portals of entry? SELECT ALL THAT APPLY

The community health nurse is making a list of needed supplies in the event of a bioterrorism attack. The nurse recognizes that community members exposed to anthrax will need access to which of the following medications?

Discharge plans are being made for a 25-year-old hospitalized client diagnosed with multiple sclerosis. The client has significant muscle weakness in the lower extremities bilaterally. Which of the following facilities should the nurse expect this client to be discharged to?

A nurse wishes to develop cultural competence when caring for clients. Which of the following actions should the nurse take first?