Nokea
During neurologic assessment of the older adult, what should the nurse expect to find?
- A. Absent deep tendon reflexes
- B. Below-average intelligence score
- C. Decreased sensation of touch and temperature
- D. Decreased frequency of spontaneous awakening
Correct Answer: C
Rationale: Older adults often exhibit decreased sensation of touch and temperature.
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During assessment of a patient with dementia, the nurse determines that the condition is potentially reversible when finding out what about the patient?
- A. Has long-standing abuse of alcohol
- B. Has a history of Parkinson's disease
- C. Recently developed symptoms of hypothyroidism
- D. Was infected with human immunodeficiency virus (HIV) 10 years ago
Correct Answer: C
Rationale: Hypothyroidism can cause reversible cognitive impairment
The following occur in response to a major surgery:
- A. increased potassium loss
- B. increased protein breakdown
- C. sodium and water retention
- D. all above
Correct Answer: D
Rationale: Major surgery triggers a stress response, leading to potassium loss, protein catabolism, and sodium/water retention due to hormonal changes.
A 65-year-old patient has undergone a right total hip arthroplasty with a cemented prosthesis for treatment of severe osteoarthritis of the hip. What is included in the activity the nurse anticipates for the patient on the patient's first or second postoperative day?
- A. Transfer from the bed to the chair twice a day only
- B. Turning from the back to the unaffected side q2hr only
- C. Crutch walking with non€“weight bearing on the operative leg
- D. Ambulation and weight bearing on the right leg with a walker
Correct Answer: D
Rationale: Weight-bearing ambulation promotes recovery.
What advice must the nurse give to prevent recurrence of insect bites?
- A. Prevent strenuous exercises by the client when outdoors.
- B. Apply insect repellant to clothing and exposed skin.
- C. Wear thick woolen clothing to cover the skin while outdoors.
- D. Avoid giving daily baths to the client with soaps.
Correct Answer: B
Rationale: Insect repellants are effective in preventing bites.
Nursing students are doing a class presentation on stroke. What is the term they would use for deficits in articulation?
- A. Aphasia
- B. Nystagmus
- C. Dysarthria
- D. Dystonia
Correct Answer: C
Rationale: Dysarthria refers to difficulty in articulating words due to muscle weakness or incoordination, often caused by stroke. Aphasia is a language disorder, nystagmus is involuntary eye movement, and dystonia is a movement disorder characterized by sustained muscle contractions.