Nokea
Nurse Cooper is preparing a teaching plan for a client who has started taking levodopa for Parkinson's disease. She plans to educate the client about common side effects associated with this medication. Which side effect should Nurse Cooper include in her teaching plan?
- A. Postural hypotension
- B. Development of a peptic ulcer
- C. Experiencing significant weight loss
- D. Occurrence of pancytopenia
Correct Answer: A
Rationale: Postural hypotension is a common side effect of levodopa, requiring patients to rise slowly from sitting or lying positions to prevent falls.
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Which of the following actions should the nurse perform before a client with impaired physical mobility gets up?
- A. Use parallel bars or a walker
- B. Apply an abdominal binder
- C. Use incontinence pads
- D. Use footboard
Correct Answer: B
Rationale: An abdominal binder supports the trunk and aids stability.
You are preparing a nursing care plan for the patient with SCI including the nursing diagnoses Impaired Physical Mobility and Self-Care Deficit. The patient tells you, 'I don't know why we're doing all this. My life's over.' What additional nursing diagnosis takes priority based on this statement?
- A. Risk for Injury related to altered mobility
- B. Imbalanced Nutrition, Less Than Body Requirements
- C. Impaired Adjustment to Spinal Cord Injury
- D. Poor Body Image related to immobilization
Correct Answer: C
Rationale: This statement reflects a need for psychological support and adjustment to the injury.
An elderly client has undergone electromyography tests to evaluate muscle weakness and deterioration. The client complains of slight pain after the tests. Which of the following nursing interventions would help relieve the client's discomfort?
- A. Administering topical analgesics to the area where the needle electrodes were inserted
- B. Massaging the area where the needle electrodes were inserted
- C. Applying a cold pack to the area where the needle electrodes were inserted
- D. Applying warm compresses to the area where the needle electrodes were inserted
Correct Answer: C
Rationale: Cold packs can help reduce inflammation and numb the area, relieving discomfort.
The presence of dysarthria suggests damage to cranial nerve:
- A. V
- B. XI
- C. XII
- D. VIII
Correct Answer: C
Rationale: Cranial nerve XII (hypoglossal nerve) is the correct answer because it controls the movements of the tongue, which are essential for articulation and speech. Damage to this nerve results in dysarthria, characterized by slurred or difficult speech due to impaired tongue movement.
One criterion identified by the American College of Rheumatology for a diagnosis of fibromyalgia is
- A. Fiber atrophy found on muscle biopsy
- B. Elimination of all other causes of musculoskeletal pain
- C. The presence of the manifestations of chronic fatigue syndrome
- D. The elicitation of pain on palpation of at least 11 of 18 identified tender points
Correct Answer: D
Rationale: Tender points are diagnostic for fibromyalgia.