Nokea
During the rehabilitative phase following his cerebrovascular accident Mr. K. is taught measures to relieve or prevent constipation. Which of these statements indicates that Mr. K. needs further health teaching?
- A. I eat whole-wheat bread with my meals.
- B. I eat fruit three times a day.
- C. I don't drink fluids after 4 P.M.
- D. I don't like to take enemas.
Correct Answer: C
Rationale: Restricted fluid intake contributes to constipation.
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The ophthalmic division of the trigeminal nerve
- A. Enters the face via the inferior orbital fissure
- B. Supplies sympathetic fibres to constrictor papillae muscles
- C. Supplies sensation to the forehead and upper eyelid, excluding the orbit
- D. Gives five branches, two of which contain sympathetic as well as sensory fibres
Correct Answer: D
Rationale: The ophthalmic division (V1) of the trigeminal nerve gives five branches, including the lacrimal and frontal nerves, which supply sensation to the forehead and upper eyelid. It does not control eye movement.
A nursing student is teaching a patient and family about epilepsy prior to the patient's discharge. For which statement should you intervene?
- A. You should avoid consumption of all forms of alcohol.
- B. Wear your medical alert bracelet at all times.
- C. Protect your loved one's airway during a seizure.
- D. It's OK to take over-the-counter medications.
Correct Answer: D
Rationale: Over-the-counter medications can interact with antiepileptic drugs, so this advice is incorrect and requires intervention.
The nurse practitioner is reviewing the chart of a patient who is scheduled to receive their first dose of sumatriptan (Imitrex) in the clinic today. Past medical history is positive for only migraines. Which of the following requires further evaluation before the medication is administered?
- A. Recent naproxen (Naprosyn) use
- B. Current blood pressure 142/90 mmHg
- C. Resting pulse rate of 61 bpm
- D. Adverse reaction to ubrogepant (Ubrelvy)
Correct Answer: B
Rationale: The correct answer is B: Current blood pressure 142/90 mmHg. Before administering sumatriptan, the nurse practitioner should further evaluate the patient's elevated blood pressure to ensure it is not contraindicated for the medication. Sumatriptan can potentially increase blood pressure, so it is crucial to monitor and address any hypertension before giving the medication.
Choice A: Recent naproxen use is not a direct contraindication for sumatriptan. Both medications are commonly used together for migraine treatment.
Choice C: A resting pulse rate of 61 bpm is within the normal range and does not require further evaluation before administering sumatriptan.
Choice D: Adverse reaction to ubrogepant is not relevant for evaluating the safety of sumatriptan. Each medication has its own set of potential side effects and interactions.
What is a disadvantage of open reduction and internal fixation of a fracture compared to closed reduction?
- A. Infection
- B. Skin irritation
- C. Nerve impairment
- D. Complications of immobility
Correct Answer: A
Rationale: Open reduction involves surgery, which increases the risk of infection.
To determine the size and location and to ascertain whether a stroke is ischemic or hemorrhagic, the nurse anticipates that the health care provider will request
- A. lumbar puncture.
- B. cerebral arteriogram.
- C. magnetic resonance imaging (MRI).
- D. computed tomography (CT) scan with contrast.
Correct Answer: D
Rationale: CT scan with contrast can differentiate between ischemic and hemorrhagic strokes by identifying areas of bleeding or infarction