Nokea
A client with a disease of the bones is beginning to feel better. Which of the following critical instructions should a nurse provide this client at this stage?
- A. Advise the client to reduce the dosage of the prescribed drugs
- B. Caution the client against discontinuing the prescribed drugs
- C. Encourage the client to resume heavy activity
- D. Encourage the client to gain weight
Correct Answer: B
Rationale: Discontinuing medication prematurely can lead to worsening of the condition.
You may also like to solve these questions
A patient with paraplegia has developed an irritable bladder with reflex emptying. What will be most helpful for the nurse to teach the patient?
- A. Hygiene care for an indwelling urinary catheter
- B. How to perform intermittent self-catheterization
- C. To empty the bladder with manual pelvic pressure in coordination with reflex voiding patterns
- D. That a urinary diversion, such as an ileal conduit, is the easiest way to handle urinary elimination
Correct Answer: C
Rationale: Manual techniques align with reflex voiding patterns.
The autonomic nervous system includes any of the following EXCEPT:
- A. hypothalamus
- B. paravertebral sympathetic trunk
- C. vagal nerve
- D. cerebral cortex
Correct Answer: D
Rationale: Cerebral cortex is the correct answer because the autonomic nervous system (ANS) primarily consists of the hypothalamus, brainstem, and peripheral nerves, which regulate involuntary bodily functions. The cerebral cortex, however, is involved in higher cognitive functions and voluntary motor control, and is not part of the ANS.
Each cerebral hemisphere is divided into ________ lobes, ________ of which have the same name as the bone over them.
- A. four, three
- B. three, two
- C. five, two
- D. five, four
Correct Answer: A
Rationale: Each cerebral hemisphere is divided into four lobes: the frontal, parietal, temporal, and occipital lobes. Three of these lobes (frontal, parietal, and temporal) share their names with the bones of the skull that overlie them. The occipital lobe is named after the occipital bone. Therefore, four, three is the correct answer as it accurately describes the division and naming of the cerebral lobes.
Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:
- A. I cannot recall why I'm living in this town.
- B. I feel as if I'm living in a fuzzy dream state.
- C. I feel like different parts of my body are at war.
- D. I feel very anxious and worried about my problems.
Correct Answer: A
Rationale: The correct answer is A because the key feature of dissociative amnesia with fugue is the inability to remember important personal information. In this case, the patient cannot recall why they are living in the current town, indicating a significant gap in memory. Choice B describes a feeling of disorientation, not memory loss. Choice C suggests dissociative identity disorder, not dissociative amnesia. Choice D focuses on anxiety, which is not a primary symptom of dissociative amnesia with fugue.
A patient reports nearly having a motor vehicle crash and states that his heart was pounding and he was breathing heavy and fast. Currently, the patient's heart rate and breathing are within normal limits. Which neurotransmitter has resumed control after the patient's incident?
- A. Serotonin
- B. Prostaglandin
- C. Acetylcholine
- D. Norepinephrine
Correct Answer: C
Rationale: Acetylcholine is the neurotransmitter responsible for mediating parasympathetic (rest-and-digest) functions, which resume control after a sympathetic (fight-or-flight) response. Norepinephrine mediates the sympathetic response, while serotonin and prostaglandins are involved in mood and pain regulation. Understanding neurotransmitter roles is key to explaining autonomic nervous system function.