Nokea
In which way will a nurse record the behavior when a patient with Alzheimer's disease attempts to eat using a napkin rather than a fork?
- A. Apraxia
- B. Agnosia
- C. Aphasia
- D. Dysphagia
Correct Answer: B
Rationale: Agnosia is a total or partial loss of the ability to recognize familiar objects or people through sensory stimuli as a result of organic brain damage.
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For which reason is a 'drug holiday' used in the treatment of Parkinson disease?
- A. Change all drugs.
- B. Allow the natural dopamine levels to rise.
- C. Restart drugs at a lower dosage with favorable results.
- D. Reduce the extrapyramidal symptoms.
Correct Answer: C
Rationale: A 'drug holiday' is a period when all drugs are withdrawn from the person with Parkinson disease. The drugs are then restarted at a lower dose with favorable results.
A frantic family member is distressed about the flaccid paralysis of a relative following a spinal cord injury several hours ago. Which fact does the nurse know about this condition?
- A. It is an ominous indicator of permanent paralysis.
- B. It is possibly a temporary condition and will clear.
- C. It degenerates into a spastic paralysis.
- D. It will progress up the cord to cause seizures.
Correct Answer: B
Rationale: A period of flaccid paralysis following a cord injury is called areflexia, or spinal shock, and may be temporary.
Which activity is the reticular activating system (RAS) essential to?
- A. Concentration
- B. Wakefulness
- C. Speech
- D. Attention
- E. Memory
- F. Introspection
Correct Answer: A,B,D,F
Rationale: The RAS, located on the brainstem, is essential to wakefulness, attention, concentration, and introspection.
A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and 'goose flesh.' Which action will be the initial nursing intervention based on these signs?
- A. Place patient in flat position and check temperature.
- B. Administer oxygen and check oxygen saturation.
- C. Place on side and check for leg swelling.
- D. Sit upright and check blood pressure.
Correct Answer: D
Rationale: These are indicators of autonomic dysreflexia or hyperreflexia. It is a medical emergency. The patient should be placed in an upright position to decrease blood pressure and the blood pressure should be checked. Assessments for impaction, full bladder, or a urine infection can help to evaluate this condition.
The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the ___
Correct Answer: myelin
Rationale: Myelin is the waxy substance that covers the neuron fibers (axons and dendrites) and increases the rate of transmission of impulses.