Nokea
A person who is drunk may have difficulty walking in a straight line because the alcohol has impacted their:
- A. thalamus
- B. reticular formation
- C. amygdala
- D. cerebellum
Correct Answer: D
Rationale: The cerebellum is responsible for coordinating voluntary movements, balance, and posture. Alcohol impairs the cerebellum's function, leading to difficulties in walking, balance, and fine motor control. This is why individuals who are drunk often exhibit unsteady movements and have trouble walking in a straight line. The cerebellum's role in motor coordination makes it particularly sensitive to the effects of alcohol.
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What type of diet is recommended for people with seizures or epilepsy?
- A. high carbohydrate diet
- B. fruit-only diet
- C. ketogenic diet
- D. low-fat diet
Correct Answer: C
Rationale: The ketogenic diet is a high-fat, low-carbohydrate diet that has been shown to reduce seizure frequency in some individuals with epilepsy, particularly those who do not respond well to medication. It works by altering the body's metabolism to produce ketones, which may have anticonvulsant effects.
Aldosterone:
- A. increases mRNA synthesis
- B. deficiency results in hypotension
- C. increases sodium reabsorption from sweat
- D. all above
Correct Answer: D
Rationale: Aldosterone increases mRNA synthesis to enhance sodium reabsorption, and its deficiency can lead to hypotension. It also promotes sodium reabsorption from sweat, helping maintain electrolyte balance.
Early in the care of the patient diagnosed with a right-sided brain stroke and disturbed visual sensory perception related to homonymous hemianopsia, what should the nurse do?
- A. Place objects on the right side within the patient's field of vision.
- B. Approach the patient from the left side to encourage the patient to turn the head.
- C. Place objects on the patient's left side to assess the patient's ability to compensate.
- D. Patch the affected eye to encourage the patient to turn the head to scan the environment.
Correct Answer: B
Rationale: Encouraging the patient to turn their head helps them become aware of their blind side
Which action requires immediate intervention by the nurse for a nursing assistant caring for a patient with CTS?
- A. Arrange the patient's lunch tray and cut the meat.
- B. Provide warm water and assist the patient with a bath.
- C. Replace the patient's splint in hyperextension position.
- D. Remind the patient not to lift very heavy objects.
Correct Answer: C
Rationale: Replacing a splint in hyperextension without proper training could exacerbate the condition.
Nurse Ramirez is providing guidance to Mr. Johnson, a client with Parkinson's disease, on how to prevent spinal curvatures commonly associated with the condition. In her instructions on preventing spinal flexion, what should Nurse Ramirez recommend to Mr. Johnson?
- A. Rest in a supine position with his head elevated.
- B. Occasionally lie in a prone position without using a neck pillow.
- C. Sleep on either side but maintain a straight back.
- D. Only sleep in the dorsal recumbent position.
Correct Answer: B
Rationale: Lying in a prone position without a neck pillow helps prevent spinal flexion and postural deformities in PD patients.