Nokea
A patient in traction frequently voices discomfort. Which one of the following complaints by Mrs. Iris would indicate beginning decubitus formation?
- A. Numbness of her toes on her left foot
- B. Pain around the insertion of the Kirschner wire
- C. Stiffness and aching of the right ankle
- D. Burning pain in the sacral area
Correct Answer: D
Rationale: Burning pain in the sacral area can indicate pressure sores forming due to prolonged pressure.
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A patient taking ibuprofen (Motrin) for treatment of OA has good pain relief but is experiencing increased dyspepsia and nausea with the drug's use. The nurse consults the patient's primary care provider about doing what?
- A. Adding misoprostol (Cytotec) to the patient's drug regimen
- B. Substituting naproxen (Naprosyn) for the ibuprofen (Motrin)
- C. Returning to the use of acetaminophen but at a dose of 5 g/day instead of 4 g/day
- D. Administering the ibuprofen with antacids to decrease the gastrointestinal (GI) irritation
Correct Answer: A
Rationale: Misoprostol protects the GI tract.
During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: C
Rationale: Grade 4 indicates movement against gravity and moderate resistance.
A client who has been immobile from a neurological deficit is moved to another bed in the nursing home and, following the move, complains of pain in his leg. Which complication is possible?
- A. TIA's
- B. Paralysis
- C. Fractures
- D. Bruising
Correct Answer: C
Rationale: Immobilization increases the risk of fractures, especially in osteoporotic clients.
The patient works on a computer 8 hours each day. What kind of repetitive strain injury would be expected in this patient?
- A. Meniscus injury
- B. Rotator cuff injury
- C. Radial-ulnar fracture
- D. Carpal tunnel syndrome
Correct Answer: D
Rationale: Carpal tunnel syndrome is a common repetitive strain injury associated with prolonged computer use.
In most cases, when diagnosing a neurological disorder such as dementia, the clinician will endeavour to classify it according to its cause. Which of the following is a specific cause that has been identified?:
- A. Alzheimer's Disease.
- B. Pick's Disease.
- C. Parkinson's Disease.
- D. All of the above.
Correct Answer: D
Rationale: Neurological disorders like dementia can be caused by a variety of underlying conditions, including Alzheimer's disease, Pick's disease, and Parkinson's disease. Alzheimer's disease is the most common cause of dementia, characterized by the accumulation of amyloid plaques and neurofibrillary tangles in the brain. Pick's disease is a rare form of dementia associated with frontotemporal lobe degeneration, while Parkinson's disease can lead to dementia due to the progressive loss of dopamine-producing neurons.