Nokea
A nurse evaluates a client for postoperative complications following joint replacement surgery. Upon discharge, the nurse teaches the client that the risk of infection is present for how long after surgery?
- A. Two weeks
- B. One month
- C. Three months
- D. Six months
Correct Answer: D
Rationale: Infections can occur up to six months post-surgery due to the body's healing process and immune response.
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In response to the 66-year-old woman with Parkinson's Disease who is experiencing difficulty walking, the charge nurse could offer a supportive and appropriate suggestion to aid in her mobility. The nurse might say:
- A. Using a cane might provide you with the additional support you need while walking.'
- B. If walking becomes too challenging, it's important not to push yourself too hard.'
- C. I can arrange for a wheelchair to help ensure your safety and comfort.'
- D. Focus on walking at a steady, comfortable pace to maintain your mobility.'
Correct Answer: A
Rationale: Using a cane can provide additional support and stability for PD patients experiencing difficulty walking, reducing the risk of falls.
One of the three basic parts of a neuron is the ________.
- A. axon
- B. myelin
- C. pons
- D. dura mater
Correct Answer: A
Rationale: A neuron consists of three basic parts: the cell body, dendrites, and axon. The axon is a long, slender projection that transmits nerve impulses away from the cell body to other neurons or target cells. Myelin is a protective sheath around some axons, the pons is a part of the brainstem, and the dura mater is a meningeal layer. Therefore, axon is the correct answer as it is one of the fundamental components of a neuron.
In the care plan for Mr. Thompson, a 78-year-old man with Parkinson's disease, Nurse Edwards is identifying tasks that can be safely delegated to a nursing assistant (NA). Considering the responsibilities and scope of practice for a nursing assistant, which of the following tasks is most appropriate for Nurse Edwards to delegate?
- A. Checking for orthostatic changes in pulse and blood pressure.
- B. Monitoring for improvement in tremor after levodopa (L-dopa) is given.
- C. Adjusting the dosage of levodopa (L-dopa) based on the patient's response.
- D. Monitoring for abnormal involuntary jerky movements of extremities.
Correct Answer: A
Rationale: Checking for orthostatic changes is within the scope of practice for a nursing assistant and is important for monitoring the side effects of PD medications.
Surgical intervention is being considered for a patient with trigeminal neuralgia. The nurse recognizes that which procedure has the least residual effects with a positive outcome?
- A. Glycerol rhizotomy
- B. Gamma knife radiosurgery
- C. Microvascular decompression
- D. Percutaneous radiofrequency rhizotomy
Correct Answer: B
Rationale: Gamma knife radiosurgery offers minimal residual effects with good outcomes.
In teaching a community group the appropriate first aid care of burns, you show them a picture of a wound which is red, has several intact large blisters, one broken blister, and a lot of moisture present. You would expect them to recognize the depth of this burn as
- A. partial-thickness
- B. first-degree
- C. full-thickness
- D. third-degree
Correct Answer: A
Rationale: Partial-thickness burns involve the epidermis and part of the dermis, often presenting with blisters and moisture.