Nokea
Bilateral affection of spinal cord at the cervical level may produce the following syndrome:
- A. hemiplegia
- B. paraplegia
- C. tetraplegia
- D. monoplegia
Correct Answer: C
Rationale: Tetraplegia is the correct answer because damage to the cervical spinal cord affects both the upper and lower limbs, resulting in paralysis of all four extremities. This condition occurs due to the disruption of motor and sensory pathways at the cervical level, which control limb function.
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Before his discharge the nurse should assess Mr. Hall's home situation to determine possible hazards. Of the following items in Mr. Hall's home, which poses the greatest danger to him while he is still on crutches?
- A. Stairs
- B. Doors
- C. Scatter rugs
- D. Easy chairs
Correct Answer: C
Rationale: Scatter rugs can cause tripping hazards.
What should the nurse include in the teaching plan for the patient with SLE?
- A. Ways to avoid exposure to sunlight
- B. Increasing dietary protein and carbohydrate intake
- C. The necessity of genetic counseling before planning a family
- D. The use of nonpharmacologic pain interventions instead of analgesics
Correct Answer: A
Rationale: Sun avoidance minimizes flare-ups.
Nurse Taylor is about to conduct an initial assessment on Mrs. Bennett, a 62-year-old woman admitted with Parkinson's Disease. As part of her preparation, Nurse Taylor reviews the etiology of Parkinson's disease, especially considering its typical onset between 50-60 years of age. What should Nurse Taylor understand as the primary cause of Parkinson's Disease?
- A. The natural death of brain cells due to aging.
- B. Genetic or hereditary factors.
- C. Exposure to injurious chemical substances.
- D. Dysfunction of dopamine-producing cells in the brain.
Correct Answer: D
Rationale: Parkinson's disease is primarily caused by the degeneration of dopamine-producing cells in the substantia nigra of the brain.
A 26 year-old man was in a motor vehicle accident and suffered a complete spinal cord injury to L3. The nurse assesses the patient for loss of motor function in the:
- A. Legs
- B. Abdomen
- C. Chest
- D. Arms
Correct Answer: A
Rationale: A spinal cord injury at the L3 level affects motor function in the legs. The abdomen, chest, and arms are controlled by higher spinal cord levels (thoracic and cervical). Loss of motor function in the legs is consistent with an L3 injury.
The nurse is preparing a patient for an electroencephalogram (EEG). What information should be given to the patient?
- A. Little needles will be stuck into the scalp.
- B. The hair must be clean and dry before the test.
- C. The hair at the temporal area will have to be shaved.
- D. The patient must withhold fluids and food for 12 hours before the test.
Correct Answer: B
Rationale: For an EEG, the patient's hair must be clean and dry to ensure proper electrode adhesion. Needles are not used, shaving is not required, and fasting is unnecessary. Clear instructions help the patient prepare for the test.