Nokea
Nurse Parker is overseeing the care of a patient with Parkinson's disease who has been consistently taking carbidopa/levodopa (Sinemet) for a year. She is attentively monitoring for any potential adverse reactions associated with this specific medication. Which adverse reaction should Nurse Parker be particularly vigilant about in monitoring this patient?
- A. The occurrence of dyskinesia.
- B. The emergence of respiratory depression.
- C. The onset of glaucoma.
- D. The development of a rash or other signs of an allergic reaction.
Correct Answer: A
Rationale: Dyskinesia, or involuntary movements, is a common adverse reaction to long-term levodopa therapy in PD patients.
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A client admitted with an exacerbation of multiple sclerosis is demonstrating frustration with eating because hand and arm spasms prevent the proper use of utensils. What should the nurse do to assist this client?
- A. Consult with Occupational Therapy regarding assistive devices for meals.
- B. Counsel the client to select finger foods for meals.
- C. Plan time to feed the client.
- D. Consult with Physical Therapy regarding hand and arm exercises.
Correct Answer: A
Rationale: Occupational therapy can provide adaptive devices and strategies to help the client eat independently despite hand and arm spasms. Finger foods and feeding assistance are less ideal solutions.
Which of the following might indicate a problem with the patient's sensory system?
- A. Inability to feel light touch or pain in specific areas.
- B. Normal sensation throughout the body.
- C. Clear and accurate perception of temperature.
- D. Absence of tingling or numbness.
Correct Answer: A
Rationale: Inability to feel light touch or pain suggests sensory system dysfunction. Normal sensation, accurate temperature perception, and absence of tingling are expected findings.
Which structure is encircled by the circle of Willis?
- A. cavernous sinus
- B. pineal gland
- C. aqueduct of the midbrain
- D. pituitary stalk
Correct Answer: D
Rationale: The circle of Willis encircles the pituitary stalk and provides collateral blood flow to the brain. It is a critical anastomotic structure at the base of the brain.
Which treatment modality should a nurse recommend to help a patient diagnosed with somatic symptom disorder cope more effectively?
- A. Flooding
- B. Relaxation
- C. Response prevention
- D. Systematic desensitization
Correct Answer: B
Rationale: The correct answer is B: Relaxation. For a patient with somatic symptom disorder, relaxation techniques can help reduce anxiety and physical symptoms associated with the disorder. Relaxation promotes a sense of calm, reduces stress, and can improve coping skills. Flooding (A) involves exposing a patient to a feared stimulus in a sudden and intense manner, which can exacerbate symptoms in somatic symptom disorder. Response prevention (C) is used in treating obsessive-compulsive disorder, not somatic symptom disorder. Systematic desensitization (D) is a technique used for phobias, not somatic symptom disorder.
The job of the Nervous System is:
- A. to receive stimulus as sensory input.
- B. integration of stimulus with reaction.
- C. to trigger action as a motor response or motor output.
- D. All of the above.
Correct Answer: D
Rationale: The nervous system performs three primary functions: receiving sensory input, integrating and processing this input, and triggering motor responses. Sensory input involves detecting stimuli from the environment or within the body. Integration occurs in the brain and spinal cord, where information is processed. Motor output involves sending signals to muscles or glands to produce a response. Therefore, the nervous system's job encompasses all these functions, making 'All of the above' the correct answer.