Nokea
Complications of immobility for the nervous system include
- A. Pneumonia
- B. Depression or insomnia
- C. Weight gain
- D. Constipation
Correct Answer: B
Rationale: The correct answer is B, depression or insomnia. Immobility can lead to decreased neurotransmitter release, impacting mood and sleep regulation. Depression and insomnia are common consequences. Pneumonia (A) is a respiratory complication. Weight gain (C) and constipation (D) are more related to the musculoskeletal and gastrointestinal systems, respectively.
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____________ is a contagious disease that is transmitted by direct person-to-person contact.
- A. Shingles
- B. Scabies
- C. Skin cancer
- D. Eczema
Correct Answer: B
Rationale: The correct answer is B: Scabies. Scabies is a contagious skin infestation caused by the Sarcoptes scabiei mite, which spreads through direct skin-to-skin contact. Shingles (A) is caused by the varicella-zoster virus and spreads through exposure to the rash of a person with shingles, not direct person-to-person contact. Skin cancer (C) is not contagious and typically develops due to genetic and environmental factors. Eczema (D) is a chronic inflammatory skin condition that is not contagious and is influenced by factors like genetics and immune system dysfunction.
A nurse is teaching a surgical patient about postoperative p.r.n. pain control. Which of the following should be included?
- A. We will bring you pain medications; you dont need to ask.
- B. Even if you have pain, you may get addicted to the drugs.
- C. You wont have much pain so just tough it out.
- D. You need to ask for the medication before the pain becomes severe.
Correct Answer: D
Rationale: Requesting pain meds early prevents severe pain, improving recovery and comfort.
A nursing assistant can share information about residents with
- A. Anyone she chooses
- B. The resident's family and friends
- C. Other members of the care team
- D. No one
Correct Answer: C
Rationale: The correct answer is C: Other members of the care team. A nursing assistant should only share resident information with other members of the care team involved in the resident's care to ensure coordinated and effective healthcare delivery. Sharing information with anyone she chooses (A) violates resident privacy rights. Sharing with the resident's family and friends (B) may breach confidentiality if not authorized by the resident. Not sharing with anyone (D) can hinder effective care coordination. Sharing with the care team promotes collaboration and enhances resident outcomes.
Which of the following actions indicates a correct understanding of research principles?
- A. Select three intake charts from every Monday in a 30-day period
- B. Audit 100% of MARs from the first day of the month
- C. Select every third chart from the infirmary log until reaching 30
- D. Audit 100% of charting from the evening shift
Correct Answer: C
Rationale: Selecting every third chart ensures a random and representative sample for research.
Which of the following conditions is most likely to cause a patient to present with potentially reversible pulseless electrical activity on the monitor?
- A. Traumatic asphyxia
- B. Wolf Parkinson White syndrome
- C. The R-on-T phenomenon
- D. Tension pneumothorax
Correct Answer: D
Rationale: The correct answer is D: Tension pneumothorax. This condition can lead to decreased venous return to the heart, causing decreased cardiac output and ultimately pulseless electrical activity. Tension pneumothorax is a life-threatening emergency that requires immediate intervention to relieve pressure on the heart and lungs.
A: Traumatic asphyxia can cause compression of the chest and airway obstruction, leading to respiratory distress but not necessarily pulseless electrical activity.
B: Wolf Parkinson White syndrome is a cardiac condition characterized by an accessory pathway for electrical conduction in the heart, which can cause arrhythmias but not typically pulseless electrical activity.
C: The R-on-T phenomenon refers to a specific ECG finding where a premature ventricular contraction occurs on the T wave of the preceding beat, which can lead to ventricular fibrillation but is less likely to result in pulseless electrical activity compared to tension pneumothorax.