Nokea
During care of a patient in myasthenic crisis, maintenance of what is the nurse's first priority for the patient?
- A. Mobility
- B. Nutrition
- C. Respiratory function
- D. Verbal communication
Correct Answer: C
Rationale: Respiratory function is critical in myasthenic crisis
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The infratrochlear nerve supplies the
- A. Upper incisors
- B. Labial gum
- C. Bridge over the nose
- D. Upper lip
Correct Answer: C
Rationale: The infratrochlear nerve, a branch of the ophthalmic division (V1) of the trigeminal nerve, supplies sensation to the bridge of the nose and medial eyelid.
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 Thompson is overseeing the care of a patient with Parkinson's disease, diagnosed with Impaired Physical Mobility due to neuromuscular issues. She notices various activities performed by a nursing assistant (NA) and needs to decide if any require her immediate intervention. Which action by the NA should prompt Nurse Thompson to intervene?
- A. Placing the patient in a chair without using a transfer belt.
- B. Assisting the patient in ambulating with a gait belt.
- C. Helping the patient with feeding using adaptive utensils.
- D. Encouraging the patient to perform active range of motion exercises.
Correct Answer: A
Rationale: Placing the patient in a chair without a transfer belt increases the risk of falls and injury, requiring immediate intervention.
Which lobe of the cerebrum is located just above the ear?
- A. Parietal lobe
- B. Temporal lobe
- C. Frontal lobe
- D. Occipital lobe
Correct Answer: B
Rationale: The temporal lobe is situated near the ears.
After receiving a change-of-shift report at 7:00 am, which of these patients will you assess first?
- A. A 23-year-old with a migraine headache who is complaining of severe nausea associated with retching
- B. A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching
- C. A 59-year-old with Parkinson's disease who will need a swallowing assessment before breakfast
- D. A 63-year-old with multiple sclerosis who has an oral temperature of 101.8°F and flank pain
Correct Answer: B
Rationale: Preoperative teaching is time-sensitive and critical for surgical preparation.