![]() Which of the following would be most appropriate for the nurse to have theĪ) Lock the fingers together and pull against each other.Ĭ) Squeeze a thigh with the opposite hand. Should document this finding as which of the following?Ī nurse is having difficulty eliciting a patellar reflex during a client's neurologicalĪssessment. The nurse assesses brisk reflexes in a client during a neurological assessment. Which of the followingĪspects of neurological function should the nurse address? Which of the following would be most appropriate for the nurse to do?Ī) Assess the client's level of consciousness.ī) Assess the client's deep tendon reflexes.Ĭ) Refer the client for immediate medical follow-up.ĭ) Refer the client for physical therapy and occupational therapy.Ī nurse is preparing to assess a client's cerebellar function. Which of the following would the nurse most likely find when assessing a clientĭiagnosed with a frontal lobe contusion following a motor vehicle accident?Ī client complains of headaches each morning that resolve after getting out of bed. What assessment finding should the nurse anticipate?ĭ) Constricted pupils, unresponsive to lightĪ client has sustained an injury to the cerebellum. It does not store any personal data.The nurse is assessing the eyes of a client who has a lesion of the sympathetic nervous The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Preventive treatment for those who come into sexual contact with an individual with syphilis is important. ![]() Patients may also require physical therapy to deal with muscle wasting and weakness. Associated pain can be treated with opiates, valproate, or carbamazepine. Penicillin, administered intravenously, is the treatment of choice. “ Tabetic gait” is a characteristic high-stepping gait of untreated syphilis where the patient’s feet slap the ground as they strike the floor due to loss of proprioception. “Tabes dorsalgia” is a related back pain. Now more commonly called “tabetic ocular crises,” an attack is characterized by sudden, intense ocular pain, lacrimation and photophobia. A complication of tabes dorsalis can be transient neuralgic paroxysmal pain affecting the eyes and the ophthalmic areas, previously called “Pel’s crises” after Dutch physician P.K. The deep tendon reflexes are also diminished or absent for example, the “knee jerk” or patellar reflex may be lacking ( Westphal’s sign). The skeletal musculature is hypotonic due to destruction of the sensory limb of the spindle reflex. Symptoms may not appear for some decades after the initial infection and include: weakness, diminished reflexes, paresthesias (shooting and burning pains, pricking sensations, and formication), hypoesthesias (abnormally diminished cutaneous, especially tactile, sensory modalities), tabetic gait ( locomotor ataxia), progressive degeneration of the joints ( Charcot Joints), loss of coordination, episodes of intense pain and disturbed sensation (including glossodynia), personality changes, urinary incontinence, dementia, deafness, visual impairment, positive Romberg’s test, and impaired response to light ( Argyll Robertson pupil). Tabes dorsalis is caused by demyelination secondary to an untreated syphilis infection. Tabes Dorsalis Mnemonic, Syphilis Mnemonic Cause:
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