« previous next »

Author Question: When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with ... (Read 25 times)

123654777

  • Hero Member
  • *****
  • Posts: 585
on: Jun 25, 2018
When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:
 
  a. Ataxia.
  b. Lack of coordination.
  c. Negative Homans sign.
  d. Positive Romberg sign.

Question 2

During the neurologic assessment of a healthy 35-year-old patient, the nurse asks him to relax his muscles completely. The nurse then moves each extremity through full range of motion. Which of these results would the nurse expect to find?
 
  a. Firm, rigid resistance to movement
  b. Mild, even resistance to movement
  c. Hypotonic muscles as a result of total relaxation
  d. Slight pain with some directions of movement


sarah_brady415

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Abnormal findings for the Romberg test include swaying, falling, and a widening base of the feet to avoid falling. A positive Romberg sign is a loss of balance that is increased by the closing of the eyes. Ataxia is an uncoordinated or unsteady gait. Homans sign is used to test the legs for deep-vein thrombosis.

Answer to Question 2

ANS: B
Tone is the normal degree of tension (contraction) in voluntarily relaxed muscles. It shows a mild resistance to passive stretching. Normally, the nurse will notice a mild, even resistance to movement. The other responses are not correct.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

According to the CDC, approximately 31.7% of the U.S. population has high low-density lipoprotein (LDL) or "bad cholesterol" levels.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Caring for a patient on isolation precautions Caring for a patient on isolation precautions
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Patient diagnosed with type 2 diabetes mellitus. Periodontal examination revealed deep periodontal ... Patient diagnosed with type 2 diabetes mellitus. Periodontal examination revealed deep periodontal ...
A container in the shape of a right circular cylinder with no top has surface area square feet. A container in the shape of a right circular cylinder with no top has surface area square feet.
Video: Mitochondrial Structure & ETC Protein Complexes (Protein Complexes and Electron Transport)

For a complete list of videos, visit our video library