The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient's toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.

The movement of the leg laterally then medially, with knee straight is referred to as:

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Which of the following statements is true regarding the function of the brain?

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to provoke a client response?

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

While conducting a cultural health assessment a nurse should include which of the following?

​​​​​​​The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

A newly admitted patient is having generalized anxiety, headache with pain level 4/10, and shortness of breath at rest. How should the nurse prioritize these problems?

Renee is a 43-year-old female who presents to her gynecology office to follow up on a breast lump she discovered while performing a self-exam two days ago. Renee explains she has a family history of breast cancer. Her mother was diagnosed with stage Ill breast cancer at 40 years and passed away 5 years later. Renee's sister tested BRACA and elected to undergo a prophylactic double mastectomy Renee underwent BRACA testing and was found to be but she elected not to undergo the surgery. Considering the strong family history, Renee presents annually for mammograms and performs self-breast exams once a month. Two days ago, while performing her monthly exam in the shower. Renee felt a firm, non-tender lump in the right breast located to the right of the nipple. She immediately called to schedule an appointment for consultation.

Renee denies any associated symptoms including fatigue, changes to the skin of the breast pain, discharge from the nipples, or sore lymph nodes She describes herself as healthy and has no.
The nurse prepares to perform a breast exam on Renee to evaluate the palpable mass. When documenting pertinent objective findings related to the breast mass characteristics, the nurse includes information on (Select all that apply)