The nurse is caring for a client with a deteriorating neurological condition. The nurse is performing an assessment at the beginning of the shift and notes a falling blood pressure and heart rate. The client is lying flat with arms and legs that are extended, stiff, and rigid, and the feet are plantar flexed. What would be the correct documentation of this posturing?

Stuporous.

Decerebrate.

Decorticate.

Flaccidity.

Answer and Explanation

The Correct Answer is B

Choice A is incorrect because stuporous is a state of reduced consciousness, and does not describe the posturing observed in the client.

Choice B is correct because decerebrate posturing is characterized by extension of the arms, wrists, and fingers, and extension and internal rotation of the legs, with plantar flexion of the feet.

Choice C is incorrect - Decorticate posturing is characterized by flexion of the arms, wrists, and fingers, extension, internal rotation, and adduction of the legs, with plantar flexion of the feet. This is caused by damage to the cerebral cortex and is indicative of a neurological problem.

Choice D is incorrect because flaccidity is a state of complete lack of muscle tone, and does not describe the posturing observed in the client.

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Correct Answer is B

Explanation

Anorexia nervosa is a nutritional disorder characterized by a distorted body image and fear of weight gain, leading to an abnormally low body weight. Clients with anorexia nervosa may also engage in binge eating and purging behaviors.

Choice A is incorrect because Kwashiorkor is a type of protein-energy malnutrition caused by a severe protein deficiency.

Choice C is incorrect because Crohn's disease is a chronic inflammatory bowel disease.

Choice D is incorrect because Bulimia nervosa is a nutritional disorder characterized by binge eating and purging behaviors.

A. Through the application of extreme cold, the tissue is destroyed. B. Lasers the growth off. C. Removes the entire growth. D. Freezes the growth, so the physician can remove it at the next appointment

Correct Answer is A

Explanation

Through the application of extreme cold, the tissue is destroyed. Cryosurgery is a procedure that uses extreme cold to destroy abnormal tissues, including tumors and growths. Extreme cold is applied directly to the affected area, and this damages the cells and causes them to die. The destroyed tissue is then gradually absorbed by the body's natural healing processes. Therefore, the correct response to the client's question is that cryosurgery destroys the tissue through the application of extreme cold.

B is not the correct answer because laser surgery uses heat to destroy the tissue, not extreme cold.

C is not the correct answer because cryosurgery does not necessarily remove the entire growth.

D is not the correct answer because cryosurgery freezes the growth and destroys it, not freezes it for removal at a later time.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a young woman who is struggling with weight loss issues without apparent physical cause. Which is the most likely nursing assessment for this nutritional disorder in which normal body weight is not maintained?

Correct Answer is B

Explanation

A client is coming to the office to have a growth removed by the doctor. The client asks "What does cryosurgery do to the growth?" What is the correct response?

Correct Answer is A

Explanation

The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?

A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed?

The nurse is caring for a client admitted with a stroke. Imaging studies indicate an occlusion partially obstructing the right carotid artery. What type of stroke does the nurse know the client has?

A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

The nursing instructor is having a group discussion about the functions of the skin prior to reviewing common skin disorders. The instructor is pleased when the students answer (SATA).

The client had a nasogastric tube placed two days ago. Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

Which of the following should a nurse consider when assessing older clients with a sexually transmitted infection (STI)?

The nurse is assessing a 2-year-old client who has sustained a fracture from falling off a slide while playing in the park. What type of fracture did the child most likely sustain?