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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A dendrite conducts nerve impulses ________ the cell body.
- A. away from
- B. toward
- C. both toward and away from
- D. around, bypassing
Correct Answer: B
Rationale: Dendrites are specialized structures that receive nerve impulses from other neurons and conduct them toward the cell body. They are branched extensions that increase the surface area for receiving signals. The electrical signals generated by neurotransmitters binding to receptors on dendrites travel toward the cell body, where they are integrated to determine whether the neuron will fire an action potential. This directional flow is essential for neural communication.
A 49-year-old patient is diagnosed with Huntington's disease. He thought he saw symptoms of the disease in his 15-year-old son. What is the best response?
- A. Your son probably has the early symptoms of the disease.
- B. Huntington's disease is genetically transmitted.
Correct Answer: B
Rationale: Huntington's disease is inherited in an autosomal dominant pattern, meaning there is a 50% chance the child will inherit it if one parent has the condition.
What is the pathophysiology of systemic lupus erythematosus (SLE) characterized by?
- A. Destruction of nucleic acids and other self-proteins by autoantibodies
- B. Overproduction of collagen that disrupts the functioning of internal organs
- C. Formation of abnormal IgG that attaches to cellular antigens, activating complement
- D. Increased activity of T suppressor cells with B-cell hypoactivity, resulting in an immunodeficiency
Correct Answer: A
Rationale: Autoantibodies attack self-proteins in SLE.
KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident. HT: 6'2" WT: 190 pounds (86 kg) What level of energy intake per day is the most appropriate for KL?
- A. 1,800 kcal
- B. 2,100 kcal
- C. 2,400 kcal
- D. 2,700 kcal
Correct Answer: C
Rationale: For a patient with traumatic brain injury (TBI), an energy intake of approximately 2,400 kcal/day is often appropriate to meet increased metabolic demands while avoiding overfeeding, which can exacerbate complications like hyperglycemia or respiratory issues.
The action potential is measured in millivolts (mV) and is ranged from:
- A. -90mV to +20mV
- B. -70mV to +30mV
- C. -65mV to +40mV
- D. -30mV to +60mV
Correct Answer: C
Rationale: The action potential involves a rapid change in membrane potential, typically ranging from -65mV (resting potential) to +40mV (peak depolarization). This change is driven by the influx of sodium ions and the subsequent efflux of potassium ions. The action potential is a key mechanism for transmitting information within the nervous system, enabling neurons to communicate over long distances.