A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term?
Ataxic.
Dystrophic.
Steppage.
Helicopod.
Helicopod.
The Correct Answer is D
Choice A rationale
Ataxic gait is characterized by uncoordinated movement, wide-based steps, and irregular distances between steps, often seen in cerebellar dysfunctions.
Choice B rationale
Dystrophic gait is associated with muscle weakness, often seen in muscular dystrophies, where there is difficulty in walking, a waddle-like walk, and frequent falls.
Choice C rationale
Steppage gait is associated with foot drop, where the individual lifts their knees higher than usual to avoid dragging their toes, often seen in peripheral neuropathies.
Choice D rationale
Helicopod gait involves the feet making a half-circle with each step and is often seen in individuals with certain neurologic disorders, such as hemiplegia or certain types of ataxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Water or saline baths can help soothe skin but are not typically prescribed for psoriasis as a therapeutic measure.
Choice B rationale
Sodium bicarbonate baths are often used for itching and skin irritation but are not specifically recommended for psoriasis.
Choice C rationale
Colloids like oatmeal can be soothing for skin conditions, but they do not have the therapeutic properties needed for treating psoriasis flares.
Choice D rationale
Medicated tars are commonly used in the treatment of psoriasis because they can help reduce scaling, itching, and inflammation. They work by slowing the rapid growth of skin cells and are often prescribed for severe cases.
Correct Answer is D
Explanation
Choice A rationale
Administering a bolus of normal saline addresses fluid volume but does not directly address the respiratory effort increase or potential increased ICP, which is the most concerning aspect of the head injury.
Choice B rationale
Administering bronchodilators and monitoring LOC may help with respiratory issues but does not address the underlying problem of increased ICP, which could be causing the increased respiratory effort.
Choice C rationale
Increasing the client's bed height and reassessing in 30 minutes might temporarily help, but it is not the most immediate and appropriate intervention. The client’s symptoms suggest a more urgent issue.
Choice D rationale
Informing the care team and assessing for further signs of increased ICP is crucial. Increased respiratory effort in a client with head injury can indicate rising intracranial pressure, which requires immediate medical attention to prevent further complications.
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