Nokea
In the initial nursing assessment of Mr. Singer it is important to remember that malignant rheumatoid arthritis
- A. is limited to the synovial joints
- B. may also involve the heart, lungs, and other body systems
- C. is primarily an episodic disease
- D. affects primarily the proximal joints
Correct Answer: B
Rationale: Malignant rheumatoid arthritis can affect multiple organ systems beyond the joints.
You may also like to solve these questions
The area of the nervous system that is responsible for mediating reflexes is the:
- A. Medulla.
- B. Cerebellum.
- C. Spinal cord.
- D. Cerebral cortex.
Correct Answer: C
Rationale: The correct answer is C: Spinal cord. The spinal cord is responsible for mediating reflexes due to its role in transmitting sensory information to the brain and coordinating motor responses without involving higher brain centers. Reflex actions are quick, involuntary responses to stimuli that help protect the body. The medulla (A) controls vital functions like breathing and heartbeat, the cerebellum (B) coordinates movement and balance, and the cerebral cortex (D) is involved in higher cognitive functions like thinking and decision-making, but not reflex actions.
Regarding the cutaneous nerve supply to arm and forearm
- A. C3/4 supply pectoral and upper shoulder
- B. Branches of the brachial plexus supply arm and forearm
- C. C4/5/6/T1 supply the majority of the arm
- D. ?
Correct Answer: B
Rationale: The brachial plexus, formed from C5-T1, supplies the cutaneous innervation of the arm and forearm. Specific branches include the median, ulnar, and radial nerves.
A client is admitted to the floor with Systemic Lupus Erythematosus (SLE). Which of the following teaching points does the nurse stress to the client with SLE?
- A. Apply ice as instructed
- B. Avoid sunlight and ultraviolet radiation
- C. Use assistive devices appropriately
- D. Change dressing as prescribed
Correct Answer: B
Rationale: Sunlight can exacerbate lupus symptoms.
Babinsky response usually develops with damage in:
- A. upper motor neuron
- B. lower motor neuron
- C. cerebellar
- D. thalamus
Correct Answer: A
Rationale: Upper motor neuron is the correct answer because the Babinski sign is a pathological reflex indicative of damage to the corticospinal tract. It is characterized by the extension of the big toe and fanning of the other toes upon stimulation of the sole, which is abnormal in adults and suggests a loss of inhibitory control from the brain.
Vasodilators produced by the endothelium include:
- A. endothelium-derived relaxing factor (EDRF)
- B. nitric oxide (NO)
- C. prostacyclin (PGL2)
- D. all above
Correct Answer: D
Rationale: The endothelium produces vasodilators such as EDRF (which includes NO) and prostacyclin (PGL2). These substances help regulate vascular tone and blood flow.