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A 71-year-old patient has had PD for 8 years and is currently taking pramipexole 1.5 mg three times a day and carbidopa/levodopa 25/100 mg four times a day. His wife claims that he is complaining of seeing spiders and bugs running across the floor and imaginary children in their house. The first thing to do is:
- A. Increase the pramipexole dose.
- B. Reduce the pramipexole dose.
- C. Increase the carbidopa/levodopa dose.
- D. Reduce the carbidopa/levodopa dose.
Correct Answer: B
Rationale: Hallucinations in PD patients are often a side effect of dopamine agonists like pramipexole. Reducing the dose can help alleviate these symptoms.
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The septum of the nasal cavity is innervated by
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- B. Posterior ethmoidal nerve from V1
- C. Greater palatine nerve from V2
- D. Lesser palatine nerve from V2
Correct Answer: A
Rationale: The nasopalatine nerve, a branch of the maxillary division (V2) of the trigeminal nerve, supplies sensation to the nasal septum. It is important in nasal surgeries and anesthesia.
What is an appropriate nursing intervention to promote communication during rehabilitation of the patient with aphasia?
- A. Use gestures
- B. pictures
- C. and music to stimulate patient responses.
- D. Talk about activities of daily living (ADLs) that are familiar to the patient.
Correct Answer: A
Rationale: Non-verbal cues and familiar topics help facilitate communication in patients with aphasia
Which statement accurately describes dementia?
- A. Overproduction of β-amyloid protein causes all dementias.
- B. Dementia resulting from neurodegenerative causes can be prevented.
- C. Dementia caused by hepatic or renal encephalopathy cannot be reversed.
- D. Vascular dementia can be diagnosed by brain lesions identified with neuroimaging.
Correct Answer: D
Rationale: Neuroimaging can identify vascular lesions causing dementia
When is a fat embolism most likely to occur?
- A. 24 to 48 hours following a fractured tibia
- B. 36 to 72 hours following a skull fracture
- C. 4 to 5 days following a fractured femur
- D. 5 to 6 days following a pelvic fracture
Correct Answer: A
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The following are true about parathyroid hormone:
- A. it is an 84 amino acid peptide hormone
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- C. it acts on a cell surface receptor that increases intracellular cyclic AMP
- D. all above
Correct Answer: D
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