Nokea
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.
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Which of the following statements is FALSE regarding amphibian and mammalian visual systems?
- A. In frog tadpole, neurons from retina project from the left retina to the right optic tectum
- B. Mammalian superior colliculus is analogous to the amphibian optic tectum
- C. In both frog tadpole and mammals, half of the neurons project to the lateral geniculate nuclei (LGN) from the same side; the other half project to LGN on the opposite side
- D. Amphibian neurons from dorsal retina project to lateral side of the tectum
Correct Answer: C
Rationale: The statement that half of the neurons project to the lateral geniculate nuclei (LGN) from the same side in both frog tadpoles and mammals is false. In mammals, most retinal neurons project contralaterally, while in amphibians, the projection pattern is more complex and varies by species. This highlights differences in visual system organization between these groups.
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.
What should be included in the management during the first 48 hours after an acute soft tissue injury of the ankle (select one that doesn't apply)?
- A. Use of elastic wrap
- B. Initial immobilization and rest
- C. Elevation of ankle above the heart
- D. Alternating the use of heat and cold
Correct Answer: D
Rationale: The initial management includes rest, ice, compression, and elevation (RICE) to reduce swelling and pain.
You are caring for a patient who has just had open carpal tunnel release surgery. The surgeon has requested that the patient's hand and arm remain elevated above the level of the heart after the surgery. This is to
- A. Reduce lymphatic drainage.
- B. Reduce postoperative swelling.
- C. Restrict hand movements.
- D. Decrease possibility of nosocomial infection.
Correct Answer: B
Rationale: Elevation reduces swelling by improving venous and lymphatic return.
When assessing a patient's level of consciousness, the nurse should:
- A. Evaluate the patient's response to verbal and physical stimuli.
- B. Measure the patient's blood pressure.
- C. Inspect the patient's skin color.
- D. Assess the patient's respiratory rate.
Correct Answer: A
Rationale: Evaluating a patient's response to verbal and physical stimuli is essential for assessing their level of consciousness. Blood pressure, skin color, and respiratory rate are important but do not directly measure consciousness.