Nokea
In promoting healthy feet, what factor should the nurse recognize is associated with most foot problems?
- A. Poor foot hygiene
- B. Congenital deformities
- C. Improperly fitting shoes
- D. Peripheral vascular disease
Correct Answer: C
Rationale: Ill-fitting shoes are a leading cause of foot issues.
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With regards to the spinal cord blood supply
- A. There are two anterior spinal arteries
- B. The anterior spinal artery arises form the vertebral artery
- C. The posterior spinal artery is singular
- D. The posterior spinal artery arises from the posterior superior cerebellar
Correct Answer: B
Rationale: The anterior spinal artery arises from the vertebral artery and supplies the anterior two-thirds of the spinal cord. The posterior spinal arteries are paired and supply the posterior third.
To which patient would you assign the nurse pulled from the PACU for the day?
- A. A 35-year-old patient with osteomyelitis who needs teaching prior to hyperbaric oxygen therapy.
- B. A 62-year-old patient with osteomalacia who is being discharged to a long-term care facility.
- C. A 68-year-old patient with osteoporosis and a new orthotic device whose knowledge of use of this device must be assessed.
- D. A 72-year-old patient with Paget's disease who has just returned from surgery for total knee replacement.
Correct Answer: D
Rationale: This patient requires immediate post-surgical care, which aligns with the skills of a nurse from the PACU.
A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoreses, and flushing of the face and neck. What action should you take first?
- A. Administer the ordered acetaminophen (Tylenol).
- B. Check the Foley tubing for kinks or obstruction.
- C. Adjust the temperature in the patient's room.
- D. Notify the physician about the change in status.
Correct Answer: B
Rationale: Checking the Foley tubing is critical as it could indicate autonomic dysreflexia, a life-threatening condition in SCI patients.
In planning Mr. Smith's preoperative care to minimize the risk of an acute exacerbation, it will be most important to include
- A. discussion of postoperative care
- B. arrangements with dietary department to increase protein intake
- C. increased active and passive range-of-motion exercises
- D. time for Mr. Smith to share his feelings about the impending surgery
Correct Answer: C
Rationale: Exercise helps maintain joint function and reduces the risk of exacerbation.
What is the unit of Nervous system?
- A. Brain
- B. Spinal Cord
- C. Neuron
- D. Nerves
Correct Answer: C
Rationale: Neuron is the correct answer because it is the structural and functional unit of the nervous system. Neurons are specialized cells that transmit electrical and chemical signals, enabling communication within the nervous system and between the nervous system and other parts of the body.