Nokea
During an acute exacerbation, a patient with SLE is treated with corticosteroids. The nurse would expect the corticosteroids to begin to be tapered when which serum laboratory results are evident?
- A. Decreased anti-DNA
- B. Increased complement
- C. Increased red blood cells (RBCs)
- D. Decreased erythrocyte sedimentation rate (ESR)
Correct Answer: B
Rationale: Increased complement indicates reduced disease activity.
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What is the term for the body of a neuron?
- A. dendrite
- B. axon
- C. filament
- D. soma
Correct Answer: D
Rationale: The soma, or cell body, of a neuron contains the nucleus and other organelles necessary for cellular functions. It is responsible for maintaining the cell's metabolic activities and integrating incoming signals from dendrites.
What would be an abnormal finding when assessing cranial nerve III (Oculomotor nerve)?
- A. Pupil dilation or asymmetry.
- B. Constricted pupils.
- C. Equal and reactive pupils.
- D. Normal eye movement.
Correct Answer: A
Rationale: Pupil dilation or asymmetry indicates dysfunction of cranial nerve III (Oculomotor nerve). Constricted pupils, equal and reactive pupils, and normal eye movement are normal findings.
Priority Decision: Following change-of-shift handoff, which patient should the nurse assess first?
- A. A 58-year-old male experiencing phantom pain and requesting analgesic
- B. A 72-year-old male being transferred to a skilled nursing unit following repair of a hip fracture
- C. A 25-year-old female in left leg skeletal traction asking for the weights to be lifted for a few minutes
- D. A 68-year-old male with a new lower leg cast complaining that the cast is too tight and he cannot feel his toes
Correct Answer: D
Rationale: Cast tightness and loss of sensation indicate potential neurovascular compromise.
The nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary?
- A. I will avoid exercise because the pain gets worse.
- B. I will use heat or ice to help control the pain.
- C. I will not wear high-heeled shoes at home or work.
- D. I will purchase a firm mattress to replace my old one.
Correct Answer: A
Rationale: Avoiding exercise can lead to muscle weakness and worsening of back pain; exercise is often recommended as part of the treatment plan.
When an individual has a disruption of the ability to speak is known generally as
- A. Wernicke's aphasia
- B. Broca's aphasia
- C. Beidecker's aphasia
- D. Warnick's aphasia
Correct Answer: B
Rationale: Broca's aphasia is a language disorder that disrupts the ability to speak fluently. Individuals with this condition often experience difficulty in forming complete sentences, finding the right words, and articulating speech. This condition is caused by damage to Broca's area, located in the frontal lobe of the brain, which plays a critical role in speech production and language processing.