Nokea
A patient has a lesion involving the fasciculus gracilis and fasciculus cuneatus of the spinal cord. What should the nurse expect the patient to experience the loss of?
- A. Pain and temperature sensations
- B. Touch, deep pressure, vibration, and position sense
- C. Subconscious information about body position and muscle tension
- D. Voluntary muscle control from the cerebral cortex to the peripheral nerves
Correct Answer: B
Rationale: Fasciculus gracilis and cuneatus are responsible for transmitting touch, deep pressure, vibration, and position sense.
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The nurse is caring for a patient who is scheduled for a computed tomography (CT) scan of the brain because of new onset of headaches. Which statement by the nurse is most accurate when preparing the patient for the scan?
- A. You must shampoo your hair thoroughly tonight to remove oil and dirt.
- B. You will need to hold your head completely still during the examination.
- C. You may take fluids until about 8 a.m. Then we will give you a special radiopaque drink.
- D. We will partially shave your head tonight so that electrodes can be attached securely to your scalp.
Correct Answer: B
Rationale: Holding the head still during a CT scan is essential for obtaining clear images. Shampooing the hair, shaving the head, or administering a radiopaque drink are not required for a standard brain CT. Providing accurate instructions ensures the patient is prepared for the procedure.
What is a nursing intervention that is appropriate for the patient with a nursing diagnosis of anxiety related to lack of knowledge of the etiology and treatment of headache?
- A. Help the patient to examine lifestyle patterns and precipitating factors.
- B. Administer medications as ordered to relieve pain and promote relaxation.
- C. Provide a quiet
- D. dimly lit environment to reduce stimuli that increase muscle tension and anxiety.
Correct Answer: C
Rationale: Reducing stimuli in the environment helps alleviate anxiety and muscle tension
One indication that a paraplegic patient is beginning to accept his disability would be that he
- A. sits and looks out the window
- B. practices push-up exercises
- C. discusses his preinjury state
- D. drinks plenty of milk
Correct Answer: B
Rationale: Engaging in physical activities indicates acceptance and adaptation.
The patient has had RA for some time but has not had success with previous medications. Although there is an increased risk for tuberculosis, which monoclonal antibody is used with methotrexate to best treat symptoms?
- A. Parenteral gold
- B. Certolizumab (Cimzia)
- C. Tocilizumab (Actemra)
- D. Hydroxychloroquine (Paquenil)
Correct Answer: C
Rationale: Tocilizumab targets IL-6 receptors.
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.