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.
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Which of the following is the causative agent of primary amoebic meningoencephalitis?
- A. Naegleria fowleri
- B. Entameba histolyticum
- C. Amoeba proteus
- D. Acanthamoeba polyphaga
Correct Answer: A
Rationale: The correct answer is A: Naegleria fowleri. This is because Naegleria fowleri is known to be the causative agent of primary amoebic meningoencephalitis, a rare but serious infection of the brain. This amoeba enters the body through the nasal passages and travels to the brain, causing inflammation and damage. Entameba histolyticum is a different species of amoeba that causes amoebiasis, a gut infection. Amoeba proteus is a harmless freshwater amoeba used in biology studies. Acanthamoeba polyphaga can cause infections in immunocompromised individuals but is not associated with primary amoebic meningoencephalitis.
You are pulled from the ED to the neurologic floor. Which action should you delegate to the nursing assistant when providing nursing care for a patient with SCI?
- A. Assess patient's respiratory status every 4 hours.
- B. Take patient's vital signs and record every 4 hours.
- C. Monitor nutritional status including calorie counts.
- D. Have patient turn, cough, and deep breathe every 2 hours.
Correct Answer: B
Rationale: Taking and recording vital signs is a routine task suitable for delegation to a nursing assistant.
Which of the following would describe the discomfort experienced by a client with a tension headache?
- A. A heavy feeling over the frontal region
- B. and sensitivity to light
- C. Pressure or steady constriction on both sides of the head
- D. Headache and temporary unilateral paralysis
Correct Answer: B
Rationale: Tension headaches often feel like a tight band around the head.
The thumb is supplied by which dermatome
- A. C4
- B. C5
- C. C6
- D. C7
Correct Answer: C
Rationale: The C6 dermatome supplies the thumb and radial side of the hand. This is important in assessing cervical nerve root function.
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.