Maryville NURS 612 Final exam with precise
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detailed answers |
Which |of |the |Following |disorders |is |known |to |be |heredity?
Peripheral |neuropathy
Meningitis
Huntington |Chorea
Seizure |disorder |- |correct |answer |Huntington |Chorea
The |Examiner |asks |the |patient |to |close |her |eyes |and |then |place |a |vibrating |tuning |fork |on |the |
patients |ankle |and |asks |her |to |indicate |what |is |felt. |What |is |being |assessed? |- |correct |answer |
Primary |sensory |function
Multiple |sclerosis |- |correct |answer |Fatigue, |bowel |and |bladder |dysfunction, |sexual |dysfunction,
|sensory |changes, |muscle |weakness
Myasthenia |gravis |- |correct |answer |An |autoimmune |disorder |of |neuromuscular |junction |
involved |with |muscle |activation.
Whisper |Test |- |correct |answer |CN |V111 |acoustic
Patient |sticks |out |tongue |and |moves |it |from |side |to |side |- |correct |answer |CN |X11 |Hypoglossal
Taste |test |with |sugar, |salt, |and |lemon |- |correct |answer |CN |V11 |and |CN |1X |Facial |and |
glossopharyngeal
, Patient |puffs |out |cheeks |and |shows |teeth |- |correct |answer |CN |V11 |facial
Patient |shrugs |shoulders |against |examiner's |hands |- |correct |answer |CN |X1 |Spinal |accessary
Smell |test |with |coffee, |orange |and |cloves |- |correct |answer |CN |1 |Olfactory
Eyes |constrict |and |dilate |in |response |to |light |- |correct |answer |CN |111 |oculomotor
patient |clinches |teeth |(temporal |muscles |contracted) |- |correct |answer |CN |V |Trigeminal
positive |Babinski |sign |be |considered |a |normal |finding |in |what |ages? |- |correct |answer |0-24 |
months
The |nurse |observes |the |gait |of |a |client |as |he |enters |the |room. |He |uses |short |steps, |keeps |his |
knees |in |contact, |and |walks |with |considerable |effort. |What |term |is |used |to |describe |this |gait?
|- |correct |answer |Scissors |gait
A |nurse |observes |very |fine, |rapid, |continuous |twitching |of |a |patient's |finger |while |at |rest. |How
|should |the |nurse |document |this |finding? |- |correct |answer |Fasciculation
A |fasciculation |is |a |fine, |rapid |twitching |that |may |occur |with |some |lower |motor |neuron |
disease. |Paralysis |is |loss |of |motor |function. |Spasticity |is |abnormally |increased |muscle |tone. |An |
intention |tremor |is |an |involuntary |contraction |of |a |muscle |group |occurring |with |voluntary |
movement
Under |what |conditions |should |a |patient |be |tested |for |clonus? |- |correct |answer |When |deep |
tendon |reflexes |are |hyperactive
Clonus, |repeated |reflex |muscle |movement, |is |tested |when |a |patient |has |hyperactive |reflexes. |
It |is |found |with |diseases |of |the |upper |motor |neuron. |Nuchal |rigidity, |neck |stiffness, |is |a |sign |of
|meningeal |irritation. |Absent |reflexes |are |associated |with |lower |motor |neuron |diseases. |
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detailed answers |
Which |of |the |Following |disorders |is |known |to |be |heredity?
Peripheral |neuropathy
Meningitis
Huntington |Chorea
Seizure |disorder |- |correct |answer |Huntington |Chorea
The |Examiner |asks |the |patient |to |close |her |eyes |and |then |place |a |vibrating |tuning |fork |on |the |
patients |ankle |and |asks |her |to |indicate |what |is |felt. |What |is |being |assessed? |- |correct |answer |
Primary |sensory |function
Multiple |sclerosis |- |correct |answer |Fatigue, |bowel |and |bladder |dysfunction, |sexual |dysfunction,
|sensory |changes, |muscle |weakness
Myasthenia |gravis |- |correct |answer |An |autoimmune |disorder |of |neuromuscular |junction |
involved |with |muscle |activation.
Whisper |Test |- |correct |answer |CN |V111 |acoustic
Patient |sticks |out |tongue |and |moves |it |from |side |to |side |- |correct |answer |CN |X11 |Hypoglossal
Taste |test |with |sugar, |salt, |and |lemon |- |correct |answer |CN |V11 |and |CN |1X |Facial |and |
glossopharyngeal
, Patient |puffs |out |cheeks |and |shows |teeth |- |correct |answer |CN |V11 |facial
Patient |shrugs |shoulders |against |examiner's |hands |- |correct |answer |CN |X1 |Spinal |accessary
Smell |test |with |coffee, |orange |and |cloves |- |correct |answer |CN |1 |Olfactory
Eyes |constrict |and |dilate |in |response |to |light |- |correct |answer |CN |111 |oculomotor
patient |clinches |teeth |(temporal |muscles |contracted) |- |correct |answer |CN |V |Trigeminal
positive |Babinski |sign |be |considered |a |normal |finding |in |what |ages? |- |correct |answer |0-24 |
months
The |nurse |observes |the |gait |of |a |client |as |he |enters |the |room. |He |uses |short |steps, |keeps |his |
knees |in |contact, |and |walks |with |considerable |effort. |What |term |is |used |to |describe |this |gait?
|- |correct |answer |Scissors |gait
A |nurse |observes |very |fine, |rapid, |continuous |twitching |of |a |patient's |finger |while |at |rest. |How
|should |the |nurse |document |this |finding? |- |correct |answer |Fasciculation
A |fasciculation |is |a |fine, |rapid |twitching |that |may |occur |with |some |lower |motor |neuron |
disease. |Paralysis |is |loss |of |motor |function. |Spasticity |is |abnormally |increased |muscle |tone. |An |
intention |tremor |is |an |involuntary |contraction |of |a |muscle |group |occurring |with |voluntary |
movement
Under |what |conditions |should |a |patient |be |tested |for |clonus? |- |correct |answer |When |deep |
tendon |reflexes |are |hyperactive
Clonus, |repeated |reflex |muscle |movement, |is |tested |when |a |patient |has |hyperactive |reflexes. |
It |is |found |with |diseases |of |the |upper |motor |neuron. |Nuchal |rigidity, |neck |stiffness, |is |a |sign |of
|meningeal |irritation. |Absent |reflexes |are |associated |with |lower |motor |neuron |diseases. |