Nokea
Bradycardia can occur in response to:
- A. elevated intraocular pressure
- B. ocular massage
- C. pulling of the extraocular muscle
- D. all above
Correct Answer: D
Rationale: Bradycardia can be triggered by elevated intraocular pressure, ocular massage, or extraocular muscle manipulation due to the oculocardiac reflex.
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While Susan's medication is being adjusted, which of the following aspects of nursing assessment would be most important to document?
- A. Muscular strength following medication administration
- B. Elimination patterns
- C. Emotional response to her diagnosis
- D. State of consciousness
Correct Answer: A
Rationale: Muscle strength is directly affected by myasthenia gravis and its treatment.
The following are associated with cataract formation:
- A. dehydration
- B. smoking
- C. alcohol
- D. all above
Correct Answer: D
Rationale: Dehydration, smoking, and alcohol consumption are risk factors for cataract formation. These factors contribute to oxidative stress and lens protein damage, leading to opacification.
In taking a health history in a patient with periarteritis nodosa, it would be most important to ask questions related to dysfunction of which system?
- A. Cardiovascular
- B. Renal
- C. Visual
- D. Immunologic
Correct Answer: A
Rationale: Periarteritis nodosa primarily affects blood vessels, impacting cardiovascular function.
The foremost observation to make when providing care to a patient in status epilepticus is
- A. hydration
- B. patency of airway
- C. temperature elevation
- D. response to environmental stimuli
Correct Answer: B
Rationale: Maintaining airway patency is critical in status epilepticus to ensure adequate oxygenation.
Priority Decision: Before repositioning the patient on the side after a lumbar laminectomy, what should be the nurse's first action?
- A. Raise the head of the bed 30 degrees.
- B. Have the patient flex the knees and hips.
- C. Place a pillow between the patient's legs.
- D. Have the patient grasp the side rail on the opposite side of the bed.
Correct Answer: A
Rationale: Raising the head of the bed stabilizes the spine.