The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select the 2 correct answers)

Distal limb can be flexed and stretched

Cap refill >5 sec.

Pulse is equal to unaffected limb

Limb is cool to touch

Patient is aware of touch and warm and cold application

Answer and Explanation

Correct Answer : B,D

A. The ability to flex and stretch the distal limb indicates intact motor function, not altered circulation.
B. A capillary refill time greater than 5 seconds suggests poor peripheral perfusion and possible vascular compromise.
C. A pulse equal to the unaffected limb indicates normal circulation.
D. A limb that is cool to touch suggests decreased blood flow and impaired circulation.
E. Patient awareness of touch and temperature indicates intact sensory function, not circulation issues.

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Correct Answer is C

Explanation

A. Complex partial seizures involve impaired consciousness with automatisms, not just staring.
B. Myoclonic seizures are characterized by sudden, brief muscle jerks.
C. Absence seizures cause brief episodes of staring and unresponsiveness, often mistaken for daydreaming, and can impact school performance.
D. Akinetic seizures involve sudden loss of muscle tone, leading to collapse, not staring episodes.

A. Muscles will become shorter and painful. B. Muscles will become shorter and less elastic C. Muscles will become longer and flexed. D. Muscles will become fibrosed and spastic

Correct Answer is B

Explanation

A. While muscles may become painful with disuse, pain is not the most consistent or defining result. The primary issue is loss of elasticity and shortening.
B. Lack of regular stretching and contraction leads to muscle atrophy, shortening, and decreased elasticity, contributing to joint stiffness and reduced range of motion.
C. Muscles do not become longer or remain flexed with inactivity; instead, they typically shorten due to contracture formation.
D. Fibrosis and spasticity are more associated with neurological damage rather than simple disuse.

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The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select the 2 correct answers)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?

Correct Answer is C

Explanation

If muscles are not regularly stretched and contracted, how will the muscles be affected?

Correct Answer is B

Explanation

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The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select the 2 correct answers)

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