Nokea
To assess the patient's deep tendon reflexes, the nurse should:
- A. Use a reflex hammer to test responses in the biceps, triceps, and patellar tendons.
- B. Measure the patient's temperature.
- C. Inspect the patient's gait.
- D. Check the patient's level of consciousness.
Correct Answer: A
Rationale: Deep tendon reflexes are tested using a reflex hammer to elicit responses in specific tendons. Temperature, gait, and level of consciousness are unrelated to reflex testing.
You may also like to solve these questions
One of the most important functions of the autonomic nervous system is the following:
- A. regulation of homeostasis
- B. voluntary movements
- C. coordination of movements
- D. involuntary movements
Correct Answer: A
Rationale: Regulation of homeostasis is the correct answer because the autonomic nervous system controls vital functions such as heart rate, blood pressure, digestion, and temperature regulation. These processes are essential for maintaining the body's internal balance and ensuring survival.
What is the pathophysiology of systemic lupus erythematosus (SLE) characterized by?
- A. Destruction of nucleic acids and other self-proteins by autoantibodies
- B. Overproduction of collagen that disrupts the functioning of internal organs
- C. Formation of abnormal IgG that attaches to cellular antigens, activating complement
- D. Increased activity of T suppressor cells with B-cell hypoactivity, resulting in an immunodeficiency
Correct Answer: A
Rationale: Autoantibodies attack self-proteins in SLE.
The cerebellum, ________ portion of the brain, is located below the occipital lobes of the cerebrum.
- A. the largest
- B. the second largest
- C. the third largest
- D. the smallest
Correct Answer: B
Rationale: The cerebellum is the second largest portion of the brain, located below the occipital lobes of the cerebrum. It plays a crucial role in coordinating voluntary movements, balance, and posture. While the cerebrum is the largest part of the brain, the cerebellum is smaller but still significant in size and function. Therefore, the second largest is the correct answer.
A client with multiple sclerosis is observed transferring from the bed to a motorized wheelchair and applying splints to the lower extremities before entering the bathroom to perform morning self-care. What could the nurse conclude regarding this observation?
- A. The client uses assistive devices to optimize autonomy.
- B. The client needs instruction to conduct morning care before applying splints to lower extremities.
- C. The client is dependent upon assistive devices.
- D. The client is reliant upon assistive devices for independent.
Correct Answer: A
Rationale: The client's use of assistive devices demonstrates their ability to maintain independence and adapt to their physical limitations.
The cutaneous innervation of the ear
- A. Is the lesser auricular nerve
- B. Involves the dermatome of C3
- C. Includes the zygomaticotemporal branch of the trigeminal nerve
- D. Includes the vagus
Correct Answer: D
Rationale: The vagus nerve (X) provides sensory innervation to the external auditory meatus and part of the ear. This is important in diagnosing referred pain from the ear.