Nokea
A patient with a fractured femur experiences the complication of malunion. The nurse recognizes that what happens with this complication?
- A. The fracture heals in an unsatisfactory position.
- B. The fracture fails to heal properly despite treatment.
- C. Fracture healing progresses more slowly than expected.
- D. Loss of bone substances occurs as a result of immobilization.
Correct Answer: A
Rationale: Malunion refers to a healed fracture in an incorrect alignment or position.
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The nurse is caring for a patient diagnosed with a cerebral tumor. For which function should the nurse expect to assess an abnormality?
- A. Reflex movement
- B. Movement and speech
- C. Coordination and posture
- D. Heart rate and respiratory rate
Correct Answer: B
Rationale: A cerebral tumor in the frontal lobe may affect movement and speech, as this area contains the motor cortex and Broca's area. Reflex movements are controlled by the spinal cord, coordination by the cerebellum, and heart rate by the medulla. Assessing movement and speech is critical for localizing the tumor's effects.
A laminectomy and spinal fusion are performed on a patient with a herniated lumbar intervertebral disc. During the postoperative period, which finding is of most concern to the nurse?
- A. Paralytic ileus
- B. Urinary incontinence
- C. Greater pain at the graft site than at the lumbar incision site
- D. Leg and arm movement and sensation unchanged from preoperative status
Correct Answer: B
Rationale: Urinary incontinence may indicate nerve damage.
Which intervention should the nurse delegate to the licensed practical nurse (LPN) when caring for a patient following an acute stroke?
- A. Assess the patient's neurologic status.
- B. Assess the patient's gag reflex before beginning feeding.
- C. Administer ordered antihypertensives and platelet inhibitors.
- D. Teach the patient's caregivers strategies to minimize unilateral neglect.
Correct Answer: C
Rationale: Administering medications is typically within the scope of practice for LPNs
Which of the following nursing interventions is taken as a precautionary measure if shock develops when a client with spinal cord injury is hospitalized?
- A. An IV line is inserted to provide access to a vein.
- B. Head and back are immobilized mechanically with a cervical collar and back support.
- C. Traction with weights and pulleys is applied.
- D. A turning frame is used.
Correct Answer: A
Rationale: IV access is critical for administering fluids and medications in shock.
In counseling patients with spinal cord lesions regarding sexual function, how should the nurse advise a male patient with a complete lower motor neuron lesion?
- A. He is most likely to have reflexogenic erections and may experience orgasm if ejaculation occurs
- B. He may have uncontrolled reflex erections but orgasm and ejaculation are usually not possible
- C. He has a lesion with the greatest possibility of successful psychogenic erection with ejaculation and orgasm
- D. He will probably be unable to have either psychogenic or reflexogenic erections and no ejaculation or orgasm
Correct Answer: B
Rationale: Lower motor neuron lesions result in uncontrolled reflex erections.