The nurse notes that a client has ataxi
Plantar flexion
Romberg
Achilles reflex
Patellar reflex
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Mitigation is not the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is the level that focuses on reducing or eliminating risks and vulnerabilities before a disaster occurs, such as building levees or dams, enforcing zoning codes, or implementing insurance policies.
Choice B reason: Security is not the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is not a level of the framework, but rather a cross-cutting function that supports all levels by ensuring the protection of people, property, and information from threats or hazards.
Choice C reason: Preparedness is the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is the level that focuses on enhancing the readiness and capabilities of individuals, organizations, and communities to respond to and recover from a disaster, such as developing plans, conducting trainings, or providing education.
Choice D reason: Response phase is not the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is the level that focuses on delivering immediate assistance and resources to save lives, protect property, and meet basic needs during and after a disaster, such as activating emergency operations centers, deploying teams, or providing shelter.
Correct Answer is C
Explanation
Choice A reason: A negative-pressure isolation room is not appropriate for this client because it is used for clients who have airborne infections that can spread through small droplets that remain suspended in the air, such as tuberculosis, measles, or chickenpox. Scabies is a skin infection that is spread by direct contact with infested skin or clothinG.
Choice B reason: A positive-pressure isolation room is not appropriate for this client because it is used for clients who have compromised immune systems and need protection from environmental contaminants, such as bone marrow transplant recipients, burn victims, or organ transplant recipients. Scabies is not caused by environmental contaminants, but by parasitic mites that burrow under the skin.
Choice C reason: A private room is appropriate for this client because it prevents contact transmission of scabies to other clients or stafF. The client should also have dedicated equipment and linens, and wear gloves and gown when leaving the room. The room should be thoroughly cleaned and disinfected after the client's dischargE.
Choice D reason: A semi-private room with a client who has pediculosis capitis is not appropriate for this client because it increases the risk of cross-contamination between the two clients. Pediculosis capitis is a head lice infestation that can also be spread by direct contact with infested hair or personal items.
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