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 ["A","C","E"]
Explanation
Choice A reason: The integumentary system is a portal of entry for anthrax because the bacteria can enter through cuts or abrasions on the skin, causing cutaneous anthrax, which is the most common and least severe form of the diseasE.
Choice B reason: The endocrine system is not a portal of entry for anthrax because the bacteria do not affect the glands or hormones of the body.
Choice C reason: The central nervous system is a portal of entry for anthrax because the bacteria can invade the brain and spinal cord, causing meningitis, which is a rare but fatal complication of anthrax infection.
Choice D reason: The renal system is not a portal of entry for anthrax because the bacteria do not affect the kidneys or urinary tract.
Choice E reason: The respiratory system is a portal of entry for anthrax because the bacteria can be inhaled into the lungs, causing inhalation anthrax, which is the most deadly and difficult to treat form of the diseasE.
Correct Answer is C
Explanation
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