Nokea
MRS. Post is being discharged tomorrow on a regimen of prednisone and aspirin to control her symptoms of systemic lupus erythematosus. She should be told to call her physician immediately if which one of the following occurs?
- A. Missed menstrual period
- B. Inability to take oral medications because of vomiting
- C. Temperature elevated to 99.6°F
- D. Ankle edema
Correct Answer: B
Rationale: Vomiting can interfere with medication absorption and effectiveness.
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The woman with osteoporosis slipped on the ice and now her wrist hurts. If there is a fracture, what type of fracture is expected?
- A. Dislocation
- B. Open fracture
- C. Colles' fracture
- D. Incomplete fracture
Correct Answer: C
Rationale: Colles' fracture is common in osteoporosis-related wrist injuries.
A positive Plantar reflex in an adult is:
- A. Dorsiflexion of the big toe and fanning of all toes
- B. Plantar flexion of the big toe with a fanning of all toes
- C. The expected response in a health adult
- D. Withdrawl of the stimulated extremity from the stimulus
Correct Answer: A
Rationale: A positive Babinski sign (Plantar reflex) in adults is abnormal and indicates upper motor neuron dysfunction. It is characterized by dorsiflexion of the big toe and fanning of the other toes. In healthy adults, the normal response is plantar flexion of the toes.
What is an appropriate nursing intervention to promote communication during rehabilitation of the patient with aphasia?
- A. Use gestures
- B. pictures
- C. and music to stimulate patient responses.
- D. Talk about activities of daily living (ADLs) that are familiar to the patient.
Correct Answer: A
Rationale: Non-verbal cues and familiar topics help facilitate communication in patients with aphasia
The change in electrical charge that occurs in a neuron when a nerve impulse is transmitted is known as the:
- A. action potential
- B. synaptic change
- C. refractory period
- D. ionic charge
Correct Answer: A
Rationale: An action potential is the rapid change in electrical charge that occurs in a neuron when a nerve impulse is transmitted. This process involves the depolarization of the neuron's membrane, where sodium ions rush into the cell, followed by repolarization, where potassium ions exit the cell. The action potential is the basis for neural communication and allows signals to travel quickly along the axon to the synapse, where neurotransmitters are released to communicate with other neurons.
During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: C
Rationale: Grade 4 indicates movement against gravity and moderate resistance.