Nokea
Following a myelogram the nurse will include in the postprocedure care observing for which possible complication?
- A. elevation of blood pressure.
- B. urine retention.
- C. Loss of sensation in lower extremities.
- D. slurred speech.
Correct Answer: C
Rationale: Postmyelogram care includes the data collection to ensure there is no leakage of CSF, sensation and strength of the lower extremities, or headache. To avoid a headache, the patient should be flat for a few hours.
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Which divisions are the two divisions of the nervous system?
- A. Somatic and the autonomic
- B. Cerebellum and the brainstem
- C. Medulla oblongata and the diencephalon
- D. Central and the peripheral
Correct Answer: D
Rationale: The central and the peripheral are the two divisions of the nervous system. The autonomic and the somatic are the division of the peripheral nervous system.
Involuntary rhythmic movement of the eyes, with oscillations that may be horizontal, vertical, or mixed movements, is called ___
Correct Answer: nystagmus
Rationale: Nystagmus is a rhythmic movement of the eyes, which may be horizontal, vertical, or mixed in directional movement. The eye movement cannot be controlled by the patient.
___ is/are responsible for the transmission of impulses between synapses.
Correct Answer: Neurotransmitters
Rationale: Neurotransmitters (acetylcholine, norepinephrine, dopamine, and serotonin) function to conduct transmission between the synapses.
The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait, which causes the patient to walk in which manner?
- A. stagger and need support of a walker.
- B. shuffle with arms flexed.
- C. fall over to one side when walking.
- D. take small steps balanced on the toes.
Correct Answer: B
Rationale: The propulsive gait causes the patient to shuffle with his arms flexed and with a loss of postural reflexes.
The nurse is caring for a patient who had a spinal cord injury at C5 3 years ago. The nurse expects the plan of care will focus on the knowledge that the patient will be able to do which activity independently?
- A. feed self with setup and adaptive equipment.
- B. transfer self to wheelchair.
- C. stand erect with full leg braces.
- D. sit with good balance.
Correct Answer: A
Rationale: A cord injury at C5 allows for ability to drive an electric wheelchair with mobile hand supports and feed self with adaptive equipment.