Nokea
Meningeal sign is the following:
- A. Babinsky
- B. Kernig
- C. Lasseg
- D. Romberg
Correct Answer: B
Rationale: Kernig's sign is the correct answer because it is a clinical sign of meningeal irritation, often seen in meningitis. It is elicited by attempting to extend the knee while the hip is flexed, which causes pain and resistance due to inflammation of the meninges.
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A person who experiences an aura as part of his/her seizure pattern should be instructed to
- A. lie down in a safe place
- B. take additional anticonvulsant medication
- C. call an ambulance
- D. exercise vigorously
Correct Answer: A
Rationale: Lying down in a safe place can prevent injury during a seizure.
KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident. HT: 6'2" WT: 190 pounds (86 kg) What level of energy intake per day is the most appropriate for KL?
- A. 1,800 kcal
- B. 2,100 kcal
- C. 2,400 kcal
- D. 2,700 kcal
Correct Answer: C
Rationale: For a patient with traumatic brain injury (TBI), an energy intake of approximately 2,400 kcal/day is often appropriate to meet increased metabolic demands while avoiding overfeeding, which can exacerbate complications like hyperglycemia or respiratory issues.
When an edrophonium (Tensilon) test is carried out, which of the following drugs must be available as an antidote?
- A. Atropine sulfate
- B. Diazepam (Valium)
- C. Ephedrine
- D. Corticosteroids
Correct Answer: A
Rationale: Atropine sulfate is used as an antidote for cholinergic crisis.
A patient with a spinal cord injury has spinal shock. The nurse plans care for the patient based on what knowledge?
- A. Rehabilitation measures cannot be initiated until spinal shock has resolved.
- B. The patient will need continuous monitoring for hypotension, tachycardia, and hypoxemia.
- C. Resolution of spinal shock is manifested by spasticity, hyperreflexia, and reflex emptying of the bladder.
- D. The patient will have complete loss of motor and sensory functions below the level of the injury but autonomic functions are not affected.
Correct Answer: C
Rationale: Spinal shock resolves with the return of reflex activity.
A few weeks after the injury, the nurse notices that Joe seems to be pulling his legs away from her during the bath. Which of the following statements provides the best explanation of the patient's leg movement?
- A. He is embarrassed about having to be bathed
- B. Muscle spasms are beginning to occur
- C. Paralysis is diminishing due to reduction in edema
- D. He is adjusting negatively to his disability
Correct Answer: B
Rationale: Muscle spasms are common in spinal cord injury recovery.