Nokea
A patient has recently experienced a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. Which nursing interventions would be most helpful in assisting this patient to swallow safely?
- A. Use a straw.
- B. Tuck chin when swallowing.
- C. Take a sip of liquid with each bite.
- D. Turn head to the left.
Correct Answer: B
Rationale: The patient should sit at a 90-degree angle with the head up and chin slightly tucked.
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A ___ is a diagnostic procedure used to identify lesions by observing the flow of radiopaque dye through the subarachnoid space.
Correct Answer: myelogram
Rationale: Preparation for this procedure is the same as for lumbar puncture.
Which sign is the cardinal sign of increased intracranial pressure in a patient who has sustained a brain injury?
- A. Pupil changes
- B. Ipsilateral paralysis
- C. Vomiting
- D. Decrease in the level of consciousness
Correct Answer: D
Rationale: Collection of objective data includes a change in level of consciousness. A change in the level of consciousness is the earliest sign of increased intracranial pressure.
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.
Which cranial nerve supplies most of the organs in the thoracic and abdominal cavities and carries motor fibers to glands that produce digestive juices and other secretions?
- A. Somatic motor nerve
- B. Visceral sensory nerve
- C. Abducens nerve
- D. Vagus nerve
Correct Answer: D
Rationale: The vagus nerve extends from the throat, larynx, and organs in the thoracic and abdominal cavities. It is responsible for sensations and will accelerate peristalsis when stimulated.
___ is/are responsible for the transmission of impulses between synapses.
Correct Answer: Neurotransmitters
Rationale: Neurotransmitters (acetylcholine, norepinephrine, dopamine, and serotonin) function to conduct transmission between the synapses.