Maryville Nurs 612 Final Study Guide Questions And Correct Answers

Which is a normal assessment finding in adult female breasts? {Ans: Montgomery follicles are tiny sebaceous glands that are visible in the areola and are a normal finding.}Under what conditions should a patient be tested for clonus? {Ans: When deep tendon reflexes are hyperactive Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation. Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex.}Thumb abduction test {Ans: Median nerve integrity (carpel tunnel)}A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest. How should the nurse document this finding? {Ans: Fasciculation A fasciculation is a fine, rapid twitching that may occur with some lower motor neuron disease. Paralysis is loss of motor function. Spasticity is abnormally increased muscle tone. An intention tremor is an involuntary contraction of a muscle group occurring with voluntary movement}Sudden onset of hot, swollen joint(s) {Ans: Gout}Patient puffs out cheeks and shows teeth {Ans: CN V11