Nokea
Mrs. Moore is a client with Parkinson disease. The nurse can anticipate that Mrs. Moore's major nursing needs will be
- A. monitoring for seizures
- B. decreasing pain tolerance
- C. assisting with activities of daily living
- D. preventing diarrhea
Correct Answer: C
Rationale: Parkinson's disease affects motor skills, requiring assistance with daily activities.
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The following conditions are required for rhodopsin regeneration:
- A. NADPH
- B. darkness
- C. splitting of all trans-retinal from the opsin
- D. all above
Correct Answer: D
Rationale: Rhodopsin regeneration requires NADPH, darkness, and the separation of all-trans-retinal from opsin. These steps are essential for the visual cycle.
After receiving a change-of-shift report at 7:00 am, which of these patients will you assess first?
- A. A 23-year-old with a migraine headache who is complaining of severe nausea associated with retching
- B. A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching
- C. A 59-year-old with Parkinson's disease who will need a swallowing assessment before breakfast
- D. A 63-year-old with multiple sclerosis who has an oral temperature of 101.8°F and flank pain
Correct Answer: B
Rationale: Preoperative teaching is time-sensitive and critical for surgical preparation.
Which of the following symptoms should the nurse closely monitor for in a client with a compartment syndrome in the upper arm?
- A. Epicondylitis
- B. Carpal tunnel syndrome
- C. Volkmann's contracture
- D. Ganglion cyst
Correct Answer: C
Rationale: Volkmann's contracture is a serious complication of compartment syndrome.
A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are no other injuries. During the assessment what would the nurse expect to find when testing the patient's deep tendon reflexes?
- A. Reflexes will be normal.
- B. Reflexes cannot be elicited.
- C. All reflexes will be diminished but present.
- D. Some reflexes will be present, depending on the area of injury.
Correct Answer: A
Rationale: The correct answer is A: Reflexes will be normal. In a patient with a head injury resulting from trauma and no other injuries, deep tendon reflexes are typically unaffected by the injury. The brain stem controls deep tendon reflexes, and since there are no other injuries, the reflexes should remain normal. Choices B, C, and D are incorrect because they do not align with the typical response of deep tendon reflexes in a head injury without other injuries. Choice B stating that reflexes cannot be elicited is incorrect as deep tendon reflexes are usually intact in this scenario. Choice C suggesting all reflexes will be diminished but present is incorrect as deep tendon reflexes are typically not affected by head injuries. Choice D stating that some reflexes will be present depending on the area of injury is incorrect because deep tendon reflexes are primarily controlled by the brain stem, which is not directly affected in this situation.
The thumb is supplied by which dermatome
- A. C4
- B. C5
- C. C6
- D. C7
Correct Answer: C
Rationale: The C6 dermatome supplies the thumb and radial side of the hand. This is important in assessing cervical nerve root function.