Nokea
A family member of a patient who has just experienced a tonic-clonic seizure is concerned about the patient's deep sleep. What is this behavior called?
- A. Convalescent period
- B. Neural recovery period
- C. Sombulant period
- D. Postictal period
Correct Answer: D
Rationale: Seizures are followed by a rest period of variable length, called a postictal period.
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A frantic family member is distressed about the flaccid paralysis of a relative following a spinal cord injury several hours ago. Which fact does the nurse know about this condition?
- A. It is an ominous indicator of permanent paralysis.
- B. It is possibly a temporary condition and will clear.
- C. It degenerates into a spastic paralysis.
- D. It will progress up the cord to cause seizures.
Correct Answer: B
Rationale: A period of flaccid paralysis following a cord injury is called areflexia, or spinal shock, and may be temporary.
The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the ___
Correct Answer: myelin
Rationale: Myelin is the waxy substance that covers the neuron fibers (axons and dendrites) and increases the rate of transmission of impulses.
The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to walk in which manner?
- A. stagger and need support of a walker.
- B. shuffle with arms flexed.
- C. fall over to one side when walking.
- D. take small steps balanced on the toes.
Correct Answer: B
Rationale: The propulsive gait causes the patient to shuffle with his arms flexed and with a loss of postural reflexes.
A patient who has experienced a stroke has expressive aphasia. Which abnormal manner of communication does the patient display?
- A. Has difficulty comprehending spoken and written communication.
- B. Cannot make any vocal sounds
- C. Has total loss and understanding of language.
- D. Can understand the spoken word, but cannot speak.
Correct Answer: D
Rationale: The patient with expressive aphasia has difficulty articulating words but can understand the written and spoken word.
Which symptom is specific to migraine headaches?
- A. Tachycardia
- B. They become worse in the evening
- C. They involve the entire head
- D. They are preceded by an aura
Correct Answer: D
Rationale: Migraine headaches are unusual in that signs and symptoms occur before the acute attack.