Nokea
Nystagmus with diplopia is a common side effect of anticonvulsants. Which of the following complaints would alert the nurse that the patient was experiencing nystagmus and diplopia?
- A. drowsiness
- B. drooping eyelids
- C. problems in reading
- D. excessive tearing
Correct Answer: C
Rationale: Problems in reading can indicate visual disturbances such as nystagmus and diplopia.
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After a car accident, Rhodri had a lot of difficulty planning his day. This is most likely the result of damage to which lobe?
- A. temporal
- B. parietal
- C. frontal
- D. occipital
Correct Answer: C
Rationale: The frontal lobe is responsible for executive functions, such as planning, decision-making, and problem-solving. Damage to the frontal lobe, as might occur in a car accident, can impair these abilities, making it difficult for individuals to organize tasks, set goals, or manage time. The frontal lobe also plays a role in personality, social behavior, and motor control, highlighting its importance in complex cognitive processes.
In the care plan for Mr. Thompson, a 78-year-old man with Parkinson's disease, Nurse Edwards is identifying tasks that can be safely delegated to a nursing assistant (NA). Considering the responsibilities and scope of practice for a nursing assistant, which of the following tasks is most appropriate for Nurse Edwards to delegate?
- A. Checking for orthostatic changes in pulse and blood pressure.
- B. Monitoring for improvement in tremor after levodopa (L-dopa) is given.
- C. Adjusting the dosage of levodopa (L-dopa) based on the patient's response.
- D. Monitoring for abnormal involuntary jerky movements of extremities.
Correct Answer: A
Rationale: Checking for orthostatic changes is within the scope of practice for a nursing assistant and is important for monitoring the side effects of PD medications.
A patient is admitted with an open fracture of the tibia following a bicycle accident. During assessment of the patient, what specifically should the nurse question the patient about?
- A. Any previous injuries to the leg
- B. The status of tetanus immunization
- C. The use of antibiotics in the last month
- D. Whether the injury was exposed to dirt or gravel
Correct Answer: B
Rationale: Tetanus prophylaxis is crucial in open fractures due to the risk of contamination.
A client undergoes arthrography for an examination of the knee. What information should the nurse provide to the client?
- A. Expect crackling or clicking noises in the joint for up to 2 days.
- B. Expect fever, nausea, and vomiting for up to 2 days.
- C. Avoid dairy products for up to 2 days.
- D. Avoid potassium-rich foods for up to 2 days.
Correct Answer: A
Rationale: Crackling or clicking noises are common after arthrography due to the contrast medium used.
What is the priority intervention in the emergency department for the patient with a stroke?
- A. Intravenous fluid replacement
- B. Administration of osmotic diuretics to reduce cerebral edema
- C. Initiation of hypothermia to decrease the oxygen needs of the brain
- D. Maintenance of respiratory function with a patent airway and oxygen administration
Correct Answer: D
Rationale: Maintaining a patent airway and oxygenation is critical in the initial management of stroke