A patient is being evaluated for disease of the lower motor ...

[azncindy619]

A patient is being evaluated for disease of the lower motor neurons. Which assessment findings should the nurse identify as consistent with this health problem?
 
  Select all that apply.
 
  1. spasticity
  2. flaccidity
  3. steppage gait
  4. fasciculations
  5. muscle atrophy

Question 2

During a health history the nurse becomes concerned that a patient is at risk for a neurological problem because of occupational and social hazards. What findings caused the nurse to have this concern?
 
  Select all that apply.
 
  1. The patient smokes 1 ppd of cigarettes.
  2. The patient and spouse walk the family dog after dinner.
  3. The patient works in a chemical plant that manufactures plastic.
  4. The patient plays football with college friends every Saturday afternoon.
  5. The patient rides a motorcycle in a state where headgear is not mandatory.

[kusterl]

Answer to Question 1

Correct Answer: 2, 3, 4, 5
Findings related to disease of or trauma to the lower motor neurons include flaccidity, steppage gait, fasciculations, and muscle atrophy. Muscle tone is increased (spasticity) in disease of the corticospinal motor tract.

Answer to Question 2

Correct Answer: 1, 3, 4, 5
Risk factors for the development of neurological problems include occupational hazards, such as exposure to toxic chemicals or materials. Self-care issues related to neurological problems include the use of tobacco and not wearing a helmet when riding a motorcycle or participating in contact sports. Walking the family dog would not increase the risk of developing a neurological problem.