Nokea
In planning community education for prevention of spinal cord injuries, what group should the nurse target?
- A. Older men
- B. Teenage girls
- C. Elementary school€“age children
- D. Adolescent and young adult men
Correct Answer: D
Rationale: Young men are at higher risk for traumatic spinal cord injuries.
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Which type of fracture occurred when there is radial nerve and brachial artery damage and the fracture is reduced with a hanging arm cast?
- A. Fractured tibia
- B. Colles' fracture
- C. Fractured humerus
- D. Femoral shaft fracture
Correct Answer: C
Rationale: The described symptoms point to a fractured humerus.
Why did the patient's wife's husband not receive clot-busting medication (tPA)?
- A. He didn't arrive within the timeframe for that therapy.
- B. Not everyone is eligible for this drug. Has he had surgery lately?
- C. You should discuss the treatment of your husband with his doctor.
- D. The medication you are talking about dissolves clots and could cause more bleeding in your husband's brain.
Correct Answer: D
Rationale: tPA is contraindicated in hemorrhagic strokes because it can worsen bleeding
Priority Decision: During assessment of a patient with a spinal cord injury, the nurse determines that the patient has a poor cough with diaphragmatic breathing. Based on this finding, what should be the nurse's first action?
- A. Institute frequent turning and repositioning
- B. Use tracheal suctioning to remove secretions
- C. Assess lung sounds and respiratory rate and depth
- D. Prepare the patient for endotracheal intubation and mechanical ventilation
Correct Answer: C
Rationale: Assessment ensures proper diagnosis before intervention.
Why does a nurse position a patient with an above-the-knee amputation with a delayed prosthetic fitting prone several times a day?
- A. To prevent flexion contractures
- B. To assess the posterior skin flap
- C. To reduce edema in the residual limb
- D. To relieve pressure on the incision site
Correct Answer: A
Rationale: Prone positioning prevents contractures.
To test for stereognosis you would
- A. Have the person close his or her eyes, then raise the person's arm and ask the person to describe its location.
- B. Touch the person with a tuning fork
- C. Place a coin in the person's hand and ask him or her to identify it.
- D. Touch the person with a cold object
Correct Answer: C
Rationale: Stereognosis is the ability to perceive and recognize the form of an object using touch. To test for stereognosis, place a familiar object, such as a coin, in the patient's hand and ask them to identify it with their eyes closed. This assesses the sensory cortex's ability to interpret tactile sensations.