Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?
Rigidity.
Flaccidity.
Ataxia.
Clonus.
The Correct Answer is D
Choice A rationale
Rigidity is characterized by a continuous resistance to passive movement in any direction and does not specifically occur during abrupt dorsiflexion of the foot.
Choice B rationale
Flaccidity refers to decreased muscle tone or limpness, which is the opposite of hyperactivity or spasticity, and would not be observed with abrupt dorsiflexion.
Choice C rationale
Ataxia involves uncoordinated or erratic movements and is related to cerebellar dysfunction. This is not specifically triggered by abrupt dorsiflexion of the foot.
Choice D rationale
Clonus is the correct term for rhythmic, involuntary contractions of a muscle that occur when it is suddenly stretched, such as with abrupt dorsiflexion of the foot. It is a sign of hyperactive reflexes and upper motor neuron lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Pediculicides are used to treat lice, not scabies. Proper hand hygiene is important, but applying pediculicide is not necessary for scabies management.
Choice B rationale
Enteric precautions are for infections transmitted via the fecal-oral route, not for scabies, which requires contact precautions.
Choice C rationale
Isolating the client's bed linens and applying contact precautions help prevent the spread of scabies to other clients.
Choice D rationale
Notifying the day surgery unit of a potential scabies outbreak is important, but it does not directly prevent infection in other clients.
Correct Answer is C
Explanation
Choice A rationale
Encouraging adequate water intake is important for overall health, but it does not directly address the client’s fear of undergoing an EEG. Adequate hydration can ensure better conduction of electrical signals, but it has no bearing on the client's anxiety related to a past electrocution incident. Therefore, it would not be effective in alleviating the client's specific fear regarding the EEG procedure.
Choice B rationale
Distracting the client’s attention from the test may temporarily reduce anxiety, but it does not address the underlying fear. The client’s fear stems from a misunderstanding of the EEG procedure, and distraction will not resolve this. It is more effective to provide factual information to dispel the fear.
Choice C rationale
Informing the client that they will not experience any electrical shock is a crucial step in alleviating their fear. An EEG records brain activity through electrodes placed on the scalp; it does not involve sending electrical currents into the body. Clarifying this fact helps address the root cause of the client’s fear, providing reassurance and reducing anxiety.
Choice D rationale
Informing the client that they will experience only mild electrical shock is incorrect and misleading. An EEG does not deliver any electrical shock to the client. Providing inaccurate information could increase the client’s anxiety and distrust. Proper education about the procedure's safety is essential for alleviating the client’s fear.
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