Which Action Will the Nurse Take When Caring for a 46-Year-Old

question 12

Multiple Choice

Which action will the nurse take when caring for a 46-year-old patient who develops tetanus from an injectable substance use?

• A) Avoid use of sedatives.
• B) Provide a quiet environment.
• C) Check pupil reaction to light every 4 hours.
• D) Provide range-of-motion exercises several times daily.

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Definitions:

Ataxia

A neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait abnormality, speech changes, and abnormalities in eye movements.

Homan Sign

A clinical sign often used in the diagnosis of deep vein thrombosis (DVT), identified by pain in the calf or popliteal region upon dorsiflexion of the patient's foot.

High Pitched

High pitched describes sounds that are at the upper end of the audible spectrum, characterized by a high frequency.

Lack of Response

The absence or failure of a reaction to stimuli or treatment, implying a non-responsive state or condition.