The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?

Answer and Explanation

The Correct Answer is D

A. 4+: This indicates very brisk reflexes with possible clonus, which is more than just brisk reflexes.

B. 2+: This indicates normal reflexes, not brisk.

C. 1+: This indicates diminished or hypoactive reflexes, not brisk.

D. 3+: This indicates brisk reflexes, which are faster than normal but without evidence of clonus.

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Correct Answer is ["B","C","D"]

Explanation

A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).

B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.

C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.

D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.

A. S2 B. S1 C. S4 D. S3

Correct Answer is B

Explanation

A. S2: This sound, also known as "dub," occurs during diastole when the semilunar valves close.

B. S1: This sound, also known as "lub," occurs during systole when the atrioventricular valves close, marking the beginning of systole.

C. S4: This sound is an abnormal heart sound associated with late diastole, not systole.

D. S3: This sound is associated with early diastole and is typically related to rapid ventricular filling, not systole.

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The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?

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Naxlex Comprehensive Predictor Exams

During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

During the cardiac cycle, heart sounds correlate with events of the cycle. Which is being associated with systole?

Correct Answer is B

Explanation

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