To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

push the soles of the feet against the nurse's hands.

wiggle the toes of both feet at the same time.

pull both feet up at the same time to stretch the Achilles tendons.

stand up independently

Answer and Explanation

The Correct Answer is A

A.   Pushing the soles of the feet against the nurse's hands is a standard test to assess the strength of the lower extremities. It provides a clear indication of muscular strength and motor function.
B.   Wiggling toes helps assess for sensation but does not evaluate overall strength or motor function in the lower extremities.
C.   Pulling both feet up to stretch the Achilles tendons is not an appropriate method for assessing lower extremity strength.
D.   Standing independently does not evaluate strength comprehensively and is more related to balance and coordination.

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Correct Answer is B

Explanation

A. Auscultating for bowel sounds once a shift is important but does not directly relate to the respiratory condition.
B. Auscultating lung sounds at the beginning of a shift is a priority to assess for any signs of respiratory compromise or complications.
C. Monitoring skin turgor every shift is important for hydration status but is less critical in comparison to lung sounds for a patient with respiratory problems.
D. Monitoring peripheral pulses once a shift is important but does not address the respiratory condition directly.

A. allow the patient to sit on the side of the bed for a minute before standing. B. instruct the patient to use the wheelchair for all mobility activity. C. keep the patient in bed in a high Fowler's position D. help the patient to rise quickly and support the patient for a minute.

Correct Answer is A

Explanation

A. Allowing the patient to sit on the side of the bed helps to prevent sudden drops in blood pressure and allows the body to adjust to the change in position, reducing the risk of fainting or dizziness.
B. Using a wheelchair for mobility may not address the root cause of orthostatic hypotension and may limit the patient's independence.
C. Keeping the patient in a high Fowler's position could worsen the symptoms of orthostatic hypotension.
D. Rising quickly could lead to a sudden drop in blood pressure and increase the risk of a fall or injury.

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To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a patient on bed rest with a history of respiratory health problems should:

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

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