The nurse is assessing a patient's musculoskeletal system after a swimming accident and notes that the patient can move both arms but is unable to move their legs. The nurse should document this finding as which of the following?

Hemiparesis

Hypertonicity

Crepitation

Paraplegia

Answer and Explanation

The Correct Answer is D

A. Hemiparesis: Hemiparesis refers to weakness on one side of the body, which does not fully describe the inability to move only the legs.

B. Hypertonicity: Hypertonicity refers to increased muscle tone or stiffness, not the inability to move legs.

C. Crepitation: Crepitation refers to a crackling or popping sound in the joints, not the inability to move legs.

D. Paraplegia: Paraplegia refers to the paralysis of the lower half of the body, including the legs, which fits the description of the patient’s condition.

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Correct Answer is D

Explanation

A. Decrease in muscle mass and strength: A decrease in muscle mass and strength is common with aging, known as sarcopenia. While it should be monitored, it is not necessarily an abnormal finding requiring further investigation unless it is severe or sudden.

B. Lower back and neck pain: Lower back and neck pain can be common with aging due to degenerative changes in the spine or other musculoskeletal issues. However, persistent or severe pain should be evaluated to rule out other causes.

C. Wrinkling and sagging skin: Wrinkling and sagging skin are normal aging changes related to decreased collagen and elastin in the skin. These changes are generally expected with aging.

D. Joint stiffness in fingers: Joint stiffness can be related to aging but may also indicate conditions like arthritis. If the stiffness is significant, persistent, or accompanied by other symptoms, it requires further investigation.

A. "How would you describe your sleep problem?" B. "What types of sleep treatments have you tried?" C. "What do you think is the cause of the sleep problem?" D. "How does the sleep problem affect your everyday living?" E. "Don't you think when you get tired enough, you'll sleep well?"

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

Explanation

A. "How would you describe your sleep problem?" Understanding how the patient describes their sleep problem provides insight into the nature of the disturbance and its potential causes.

B. "What types of sleep treatments have you tried?" Knowing what treatments have been tried helps identify what has or hasn’t worked and can guide further management.

C. "What do you think is the cause of the sleep problem?" Understanding the patient’s perspective on the cause can help in assessing their awareness and any possible underlying issues.

D. "How does the sleep problem affect your everyday living?" This question assesses the impact of sleep disturbances on daily life and overall well-being, providing context for the severity of the problem.

E. "Don't you think when you get tired enough, you'll sleep well?" This statement does not address the underlying problem and might dismiss the patient’s concerns. It is not useful in assessing or managing sleep disturbances.

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The nurse is assessing a patient's musculoskeletal system after a swimming accident and notes that the patient can move both arms but is unable to move their legs. The nurse should document this finding as which of the following?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing an older adult patient during a regular office visit. The patient reports several symptoms. Which of the following symptoms are not related to the aging process and require further investigation?

Correct Answer is D

Explanation

The nurse is reviewing sleep habits with a patient who reports difficulty sleeping. When evaluating sleep disturbances, the nurse should ask which of the following? Select all that apply.

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

Explanation

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