Nokea
A cylinder cast needs to be applied to a client with a fracture. What is the role of the nurse during the procedure?
- A. Gently massage the arm or the leg.
- B. Hold the arm or the leg in place.
- C. Provide intense heat or a cast dryer to speed the evaporation.
- D. Compress the cast on a hard surface for better support.
Correct Answer: B
Rationale: Holding the limb in place ensures proper alignment during casting.
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What is the priority nursing diagnosis for a patient experiencing a migraine headache?
- A. Acute Pain related to biologic and chemical factors
- B. Anxiety related to change in or threat to health status
- C. Hopelessness related to deteriorating physiological condition
- D. Risk for Side Effects related to medical therapy
Correct Answer: A
Rationale: Migraine headaches are primarily characterized by severe pain, making Acute Pain the priority.
When the nursing student asks the RN what an arthroplasty is, what is the best description the RN can give the student?
- A. Surgical fusion of a joint to relieve pain
- B. Correction of bone deformity by removal of a wedge or slice of bone
- C. Reconstruction or replacement of a joint to relieve pain and correct deformity
- D. Used in rheumatoid arthritis to remove the tissue involved in joint destruction
Correct Answer: C
Rationale: Arthroplasty reconstructs or replaces the joint.
Within what approximate time frame does necrosis (cell death) occur because of lack of blood, oxygen, and glucose supplied to the brain?
- A. at least 30 minutes
- B. 20-25 minutes
- C. 12-18 minutes
- D. 4-10 minutes
Correct Answer: D
Rationale: Necrosis, or cell death, can occur within 4-10 minutes of interrupted blood flow to the brain. This underscores the importance of rapid intervention during a stroke to minimize brain damage and improve outcomes.
A 40-year-old client presents with a complaint of morning stiffness in her hands, and painful joints of about 3 months duration. On physical examination, you note deviation of the fingers of both hands toward the ulnar side, and swelling and thickening of the proximal interphalangeal joints. You refer the client to a physician for diagnosis and treatment of what you expect to be
- A. osteoarthritis
- B. degenerative joint disease
- C. rheumatoid arthritis
- D. gouty arthritis
Correct Answer: C
Rationale: Symptoms such as morning stiffness, joint swelling, and ulnar deviation are characteristic of rheumatoid arthritis.
A husband visiting his wife in the hospital suddenly becomes confused and has difficulty with speech and starts slurring his words. The physician caring for his wife recognizes this as a cerebrovascular accident. What would you expect the physician to do?
- A. Administer TPA since this is within 3 hours of the CVS.
- B. Assess if the husband had an ischemic or hemorrhagic CVS.
- C. Tell the husband to go home, get rest, and to call the physician in the morning if the symptoms continue.
- D. Admit the husband and place him on bed rest.
Correct Answer: B
Rationale: It's critical to determine the type of stroke (ischemic or hemorrhagic) before treatment.