Nokea
Dysdiadochokinesia refers to ___________.
- A. inability to walk
- B. excessive movements of the appendages
- C. ignoring one side of the body opposite brain damage
- D. inability to do alternating movements
Correct Answer: D
Rationale: Dysdiadochokinesia is the inability to perform rapid alternating movements, such as pronation and supination of the hand. It is often a sign of cerebellar dysfunction, which affects motor coordination.
You may also like to solve these questions
Which is the CORRECT myotome?
- A. S1 supplies hip abduction
- B. ?
- C. L3, 4 causes knee extension
- D. ?
Correct Answer: C
Rationale: The L3 and L4 nerve roots innervate the quadriceps muscles, which are responsible for knee extension. This is important in assessing lumbar nerve root function.
A 70-year-old alcoholic patient with acute lethargy, confusion, and incontinence is admitted to the hospital ED. His wife tells you that he fell down the stairs about a month ago, but 'he didn't have a scratch afterward.' She feels that he has become gradually less active and sleepier over the last 10 days or so. Which of the following collaborative interventions will you implement first?
- A. Place on the hospital alcohol withdrawal protocol.
- B. Transfer to radiology for a CT scan.
- C. Insert a retention catheter to straight drainage.
- D. Give phenytoin (Dilantin) 100 mg PO.
Correct Answer: B
Rationale: A CT scan is needed to rule out a subdural hematoma, which could explain the symptoms.
During treatment of the patient with an acute attack of gout, the nurse would expect to administer which drug?
- A. Aspirin
- B. Colchicine
- C. Allopurinol (Zyloprim)
- D. Probenecid (Benemid)
Correct Answer: B
Rationale: Colchicine treats acute gout attacks.
The nurse practitioner is assessing an adult patient with a seizure disorder that is well controlled on phenytoin (Dilantin). What new finding indicates that a phenytoin drug level assessment is needed?
- A. Hypertrophic gums
- B. Vitamin D supplements
- C. BP 125/78 mmHg and pulse 95 bpm
- D. Flat affect and anxiety
Correct Answer: D
Rationale: The correct answer is D because a flat affect and anxiety can indicate potential phenytoin toxicity, which warrants a drug level assessment. Phenytoin toxicity can manifest as neurological symptoms such as mood changes and cognitive impairment. Options A and B are unrelated to phenytoin levels. Option C indicates normal vital signs and is not a specific indicator of phenytoin toxicity.
You are caring for a patient who has just had open carpal tunnel release surgery. The surgeon has requested that the patient's hand and arm remain elevated above the level of the heart after the surgery. This is to
- A. Reduce lymphatic drainage.
- B. Reduce postoperative swelling.
- C. Restrict hand movements.
- D. Decrease possibility of nosocomial infection.
Correct Answer: B
Rationale: Elevation reduces swelling by improving venous and lymphatic return.