Contact the health care provider . 10. 2. Sensory function 4. Which assessment finding indicates the presence of this complication? Which is the most reliable sign of increased intracranial pressure the nurse can monitor for? Level of consciousness A blood pressure of 220/120 mm Hg. Flat neck veins 2. Vibratory sense test: A 128-Hz tuning fork placed at the base of the great toenail. 3. School Centennial College; Course Title PNUR CPNER; Uploaded By ElderTree944. The presence of COVID-19 causes the ML systems to become severely non-linear and poses challenges in cardiovascular/stroke risk stratification. These corresponded well with participants with no bradykinesia and participants with severe bradykinesia. Deep tendon reflexes of 2+ Fetal heart rate of 120 BPM . Discuss and evaluate the client's ability to drive. What nursing interventions are indicated? Which assessment finding indicates the presence of bradykinesia? The nurse is performing an initial assessment on a client who has just been told that a pregnancy test is positive. Early deceleration on the fetal . Learn faster with spaced repetition. Intention tremor B. d. Positions the patient prone to palpate the kidneys with a posterior approach. 1. Painful blisters on the labia  [ ] 2. A nurse is assessing four clients with musculoskeletal disorders. Pages 18 Ratings 100% (2) 2 out of 2 people found this document helpful; The physician has documented the presence of a Goodell's sign. A. a. A pulse rate of 60 beats/min 3. c. Percusses the kidney with a firm blow at the posterior costovertebral angle. . Common early motor signs of Parkinson disease include tremor, bradykinesia, rigidity, and . >>See answer and rationale<<. Bradykinesia 3 Mood swings 4 Disorientation 5 Loss of initiative 3 The nurse pinches the nose of an infant to assess the functioning of cranial nerve XII (hypoglossal). School Sistema Universitario Ana G Mendez; Course Title NURS HEALTH ASS; Uploaded By BaronMetalPony5. Further, due to . On assessment of the client, the nurse notes the presence of bloody drainage from the nose. Which finding indicates that the nurse should evaluate the client for a pulse deficit? Which assessment finding would be of most concern to the nurse? Which assessment finding indicates the presence of bradykinesia? a- Point of maximal impulse at anterior axillary line b- Radial pulse of 56 beats/minute c- Dorsalis pedis pulse volume is +1 d- Frequent premature beats . Pages 69 This preview shows page 51 - 59 out of 69 pages. Here, we show how the signal can be processed to visualize archetypal progression of decrement. During an assessment, the nurse knows that expected assessment findings in the normal adult lung include the presence of: a. Adventitious sounds and limited chest expansion. Bradykinesia Parkinson's Disease Exam Presence of tremors and muscular rigidity Selected Answer: Resistance to flexion of the neck. Symptoms of autonomic dysfunction, including constipation, sweating abnormalities, sexual dysfunction, and seborrheic dermatitis. Client B 3. Muffled or distant heart sounds 4. ataxia impaired coordination of movement during voluntary movement diplopia double vision, or the awareness of two images of the same object occurring in one or both eyes dysphagia difficulty swallowing dysphonia voice impairment or altered voice production dysarthria slurred speech paresthesia numbness, tingling, or a "pins and needles" sensation 1. Which assessment finding indicates why the patient does not have signs of respiratory alkalosis despite a respiratory rate of 30 breaths/minute?a. What indicates the presence of this sign of meningeal irritation? Which assessment finding indicates that the client is at risk for preterm labor? d. The patient has a large pulmonary embolism. Heavy vaginal bleeding 3. Discuss the assessment findings if present in the client that are of most concern to the nurse (list 6 assessment findings and give your rationale for each). 6 which assessment finding would indicate the. Increased tactile fremitus and dull percussion tones. Which assessment finding indicates that the client is at risk for preterm labor? Get solutions Get solutions Get solutions done loading Looking for the textbook? The patient's oral temperature is 99.2 F. c. The patient is experiencing a panic attack. The nurse is monitoring a client with acute pericarditis for signs of cardiac tamponade. The nurse who is caring for the client is performing assessments every 30 minutes. The presence of bronchogenic carcinoma. - Fidgeting and crossing/uncrossing of the legs, that may indicate dyskinesia, a complication of chronic Levodopa therapy It is important to remember that the inspection starts as soon as the patient walks in to the room. The client has a history of cardiac disease 3. Which assessment finding indicates the presence of. Which client does the nurse suspect of having Parkinson disease? The visualizations support the concept that decrement tends to present as a linear decrease in range of motion over time.Clinical relevance- Our work visually presents the archetypal types of bradykinesia amplitude decrement, as seen in the . Which assessment finding indicates to the aprn that a. School Chamberlain University College of Nursing; Course Title NR 327; Uploaded By AgentHeat9957. Elevate head of bed when eating and drinking. Hemoglobin of 11.0 g/dL; Maternal pulse rate of 85 beats per minute; Fetal heart rate of 180 beats per minute; White blood cell count of 12,000 5. School Baptist College of Health Sciences; Course Title NSG 341; Uploaded By kela_kiara. 1. c. Muffled voice sounds and symmetric tactile fremitus. Intention tremor Muscle flaccidity Paralysis of the limbs Lack of spontaneous movement Lack of spontaneous movement Bradykinesia is a slowing down in the initiation and execution of movement. All other neurologic findings are normal. 3. Click this link to watch an example of spontaneous resting tremor on the video. A nurse is performing an assessment of a client who is scheduled for a cesarean delivery. Nursing questions and answers. Wheezing on auscultation of the lungs Arrange speech therapy for the client. Study Assessment Findings: Fluid volume deficit or excess flashcards from Julia Ford's class online, or in Brainscape's iPhone or Android app. The nurse if performing an initial assessment of an adult client. This decrement has been assumed to be linear but has not been examined closely.We previously developed a method to extract a time series representation of a finger-tapping clinical test from 137 smart- phone video recordings. The client's hemoglobin level is 13.5 g/dL 4. . Severe respiratory distress and tracheal deviation c. Muffled and distant heart sounds with decreasing BP d. Decreased movement and diminished breath sounds on the affected side Answer: b. Which nursing action is most appropriate? Curling in a fetal position. 3 1. Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke? Pages 98 This preview shows page 8 - 11 out of 98 pages. 2. Vital signs 2. Gross light touch. This normally suggests inflammation of some . [ ] 1. Teach the client to call the healthcare provider for medical compliance. Document the findings. Which assessment finding best indicates the presence of this condition? Back pain 2. However, the diagnosis is challenging. Depression or anhedonia. What assessment finding would indicate the presence of a tension pneumothorax in a patient with chest trauma? The nurse is monitoring the client closely because concealed bleeding is suspected. The nurse in the neurological unit is caring for a client who was in a motor vehicle crash and sustained a blunt head injury. Tremors are more prominent at rest and are known as nonintention, not intention, tremors . a. Auscultates the lower abdominal quadrants for fluid sounds. Level of consciousness 4. The client is a 35-year-old primigravida 2. Slowness in thinking. Which assessment data indicates to the nurse that the desired outcome of the epoetin alfa (Epogen) has been achieved? The assessment finding which indicate the probable presence of a fecal impaction. 4. Nursing. 1. The assessment finding which indicate the probable. The patient's hematocrit is 28%. 2 The infant blinks the eyes with rapid closure. Beginning Algebra (5th Edition) Edit edition Solutions for Chapter 35 Problem 8A: Explain the physical assessment findings that may indicate the presence of a diaphragmatic hernia. You may have an infection.A positive finding of the enzyme leukocyte esterase in urinalysis indicates the presence of white blood cells in the urine. Which assessment finding indicates the presence of this complication A Flat neck. Semmes-Weinstein monofilament. A right-sided carotid bruit. 1. d. Absent voice sounds and hyperresonant percussion tones. A prenatal client with severe abdominal pain is admitted to the maternity unit. The nurse caring for a client with an acute head injury should carefully assess which function as the primary indicator of neurological status? 2. D Rationale Bradykinesia is a slowing down in the initiation and execution of movement. Deep tendon reflexes test: In patients with peripheral neuropathy, these reflexes are commonly hypoactive or absent. Motor function 3. Tremors are more prominent at rest and are known as nonintention, not intention, tremors. CORRECT This assessment finding reflects an improvement in the client's anemia. Apraxia, cortical sensory deficits and alien limb phenomena are the most common cortical signs, whereas asymmetrical Parkinsonism, dystonia and myoclonus comprise the extrapyramidal signs.3 This case highlights the difficulty in assessment of bradykinesia in the presence of other movement disorders, namely dystonia. b. The client has a history of cardiac disease 3. Client A 2. During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation. Epogen stimulates the production of RBCs, resulting in an increase in hematocrit. The nurse determines this sign indicates: The presence of hCG in the urine; . Pages 29 Ratings 100% (2) 2 out of 2 people found this document helpful; This preview shows page 15 - 18 out of 29 pages. The client is a 35-year-old primigravida 2. Which assessment finding would indicate a need to contact the physician? Decreased sense of smell. Which response of the infant indicates a normally functioning cranial nerve XII? 4. Milky white discharge that smells like fish [ ] 4. b. ObjectiveExtracranial vertebral artery dissection (EVAD) is one of the main causes of stroke in young and middle-aged patients. Increase in fundal height 4. School Jersey College; Course Title NURSING FUNDAMENTA; Uploaded By AxelColl. An assessment finding that would indicate to the. Client C 4. Dull percussion sounds on the injured side b. Gait tests. 6 Which assessment finding would indicate the presence of a deep vein thrombosis. Which finding is used to diagnose the presence of Parkinson's disease (PD)? A general feeling of weakness, malaise, or lassitude. 4. Recently, machine learning (ML) has shown to be able to predict cardiovascular/stroke risk in PD patients. Thick, white, curdlike vaginal discharge Pinprick sensation. A) Conjunctival sac returns to a reddish-pink color. Which area should the nurse assess further? Which assessment finding indicates to the APRN that a 6 grade girl needs to be. 1. 1. b. Palpates an empty bladder at the level of the symphysis pubis. 1 The infant wrinkles the forehead. We use k-means with . Background and Motivation: Parkinson's disease (PD) is one of the most serious, non-curable, and expensive to treat. Muscle flaccidity C. Paralysis of the limbs D. Lack of spontaneous movement. A blood glucose level of 480 mg/dL. Which assessment finding would indicate the presence of concealed bleeding? This study aimed to identify the characteristics of EVAD on color duplex ultrasonography (CDU) and high-resolution magnetic resonance imaging (hrMRI), hoping to improve the accuracy and determine the relative contribution of . The nurse is performing an initial assessment on a client who has just been told that a pregnancy test is positive. Frontal lobe Occipital lobe Sixth cranial nerve (abducens) Eighth cranial nerve (vestibulocochlear) Eighth cranial nerve (vestibulocochlear) A client is admitted to the hospital after sustaining a head injury. Muscle Strength Grading: Muscle strength testing is an . The client's hemoglobin level is 13.5 g/dL 4. Answers: Tonic spasms of the legs. Pages 4 This preview shows page 2 - 4 out of 4 pages. Insert nasal packing. Client D 1 rationale: Festinating gait, when the neck, trunk, and knees flex when the body is rigid, in client A indicates Parkinson disease. Heavy, grayish white discharge [ ] 3.