Nokea
A nursing intervention that would be appropriate to provide respite care?
- A. Help the wife to arrange for adult day care for the patient.
- B. Encourage permanent placement of the patient in the Alzheimer's unit of a long-term care facility.
- C. Refer the wife to a home health agency to arrange daily home nursing visits to assist with the patient's care.
- D. Arrange for hospitalization of the patient for 3 or 4 days so that the wife can visit out-of-town friends and relatives.
Correct Answer: A
Rationale: Adult day care provides temporary relief for caregivers
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Nurse Cooper is preparing a teaching plan for a client who has started taking levodopa for Parkinson's disease. She plans to educate the client about common side effects associated with this medication. Which side effect should Nurse Cooper include in her teaching plan?
- A. Postural hypotension
- B. Development of a peptic ulcer
- C. Experiencing significant weight loss
- D. Occurrence of pancytopenia
Correct Answer: A
Rationale: Postural hypotension is a common side effect of levodopa, requiring patients to rise slowly from sitting or lying positions to prevent falls.
As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer's disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility?
- A. Check for improvement in resident memory after medication therapy is initiated.
- B. Use the Mini-Mental State Examination to assess residents every 6 months.
- C. Assist residents to toilet every 2 hours to decrease risk for urinary incontinence.
- D. Develop individualized activity plans after consulting with residents and family.
Correct Answer: C
Rationale: Toileting assistance is a routine task that can be effectively managed by LPNs.
Which of the following is a primary function of the glomerulus?
- A. Filtration
- B. Reabsorption
- C. Secretion
- D. Transport
Correct Answer: A
Rationale: Filtration is the correct answer because the glomerulus is a network of capillaries in the kidney that filters blood to form urine. It allows water, ions, and small molecules to pass into the renal tubules while retaining larger molecules like proteins and blood cells. This filtration process is the first step in urine formation and is critical for maintaining homeostasis.
Which type of fracture occurred when there is radial nerve and brachial artery damage and the fracture is reduced with a hanging arm cast?
- A. Fractured tibia
- B. Colles' fracture
- C. Fractured humerus
- D. Femoral shaft fracture
Correct Answer: C
Rationale: The described symptoms point to a fractured humerus.
Why did the patient's wife's husband not receive clot-busting medication (tPA)?
- A. He didn't arrive within the timeframe for that therapy.
- B. Not everyone is eligible for this drug. Has he had surgery lately?
- C. You should discuss the treatment of your husband with his doctor.
- D. The medication you are talking about dissolves clots and could cause more bleeding in your husband's brain.
Correct Answer: D
Rationale: tPA is contraindicated in hemorrhagic strokes because it can worsen bleeding