Nokea
In which way will the nurse instruct a patient with Parkinson disease to improve activity level?
- A. To use a soft mattress to relax the spine.
- B. To walk with a shuffling gait to avoid tripping.
- C. To walk with hands folded behind back to help balance.
- D. To sit in hard chair with arms for posture control.
Correct Answer: C
Rationale: The patient with Parkinson disease can improve the activity level holding the hands folded behind to keep better balance and keep the arms from hanging stiffly at the side. The patient should be sleeping on a firm mattress without a pillow to prevent spinal curvature, Walk with a lifting of the feet to avoid tripping and 'freezing.'
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Which symptom is specific to migraine headaches?
- A. Tachycardia
- B. They become worse in the evening
- C. They involve the entire head
- D. They are preceded by an aura
Correct Answer: D
Rationale: Migraine headaches are unusual in that signs and symptoms occur before the acute attack.
Which cranial nerve supplies most of the organs in the thoracic and abdominal cavities and carries motor fibers to glands that produce digestive juices and other secretions?
- A. Somatic motor nerve
- B. Visceral sensory nerve
- C. Abducens nerve
- D. Vagus nerve
Correct Answer: D
Rationale: The vagus nerve extends from the throat, larynx, and organs in the thoracic and abdominal cavities. It is responsible for sensations and will accelerate peristalsis when stimulated.
Which issue is the basic problem that prompts most of the early signs of Alzheimer's disease (AD)?
- A. Changes in mood
- B. Misplacing things
- C. Memory loss that disrupts daily life
- D. Problems with words in speaking
Correct Answer: C
Rationale: Memory loss that disrupts daily life is the basic problem that prompts most of the early signs of AD.
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.
The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. In which manner are these results reported?
- A. As a sum of the scores of the four categories
- B. As part of the Glasgow Coma Scale
- C. As individual scores in each category
- D. As progressive scores during a 24-hour period
Correct Answer: C
Rationale: The FOUR score coma scale assesses the patient in four categories: eye response, brainstem reflexes, motor response, and respiration. The scores are reported as individual scores in each category. It is frequently done in conjunction with or as an alternative to the Glasgow Coma Scale, not part of it.