Nokea
One of the most common features of neurological disorders are Language deficits and are collectively known as
- A. Dysphasias
- B. Alogias
- C. Anomias
- D. Aphasias
Correct Answer: D
Rationale: Aphasia is a language disorder resulting from damage to the brain's language centers, typically in the left hemisphere. It affects the ability to produce or comprehend speech, read, or write. Aphasia can manifest in various forms, such as Broca's aphasia (difficulty speaking) or Wernicke's aphasia (difficulty understanding language). These deficits are common in neurological disorders like stroke, traumatic brain injury, or neurodegenerative diseases.
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Regarding the cutaneous nerve supply to arm and forearm
- A. C3/4 supply pectoral and upper shoulder
- B. Branches of the brachial plexus supply arm and forearm
- C. C4/5/6/T1 supply the majority of the arm
- D. ?
Correct Answer: B
Rationale: The brachial plexus, formed from C5-T1, supplies the cutaneous innervation of the arm and forearm. Specific branches include the median, ulnar, and radial nerves.
Following discharge teaching, the nurse realizes that additional instruction is needed when the patient says what?
- A. It is important for me to avoid exposure to people with upper respiratory infections.
- B. When I begin to feel better
- C. I should stop taking the prednisone to prevent side effects.
- D. I plan to use vitamin supplements and a high-protein diet to help manage my condition.
Correct Answer: B
Rationale: Prednisone should not be stopped abruptly due to the risk of adrenal insufficiency
Laboratory findings that the nurse would expect to be present in the patient with RA include
- A. polycythemia.
- B. increased immunoglobulin G (IgG).
- C. decreased white blood cell (WBC) count.
- D. anti-citrullinated protein antibody (ACPA).
Correct Answer: D
Rationale: ACPA is specific to RA.
The nurse instructs a client who has a neurological deficit regarding nutrition and diet. What should the client do?
- A. Eat two large meals instead of frequent small meals.
- B. Consume a diet low in fiber.
- C. Chew foods quickly.
- D. Be sure to take fluids frequently.
Correct Answer: D
Rationale: Staying hydrated is crucial for clients with neurological deficits to prevent constipation and urinary tract infections.
A patient with a spinal cord injury has spinal shock. The nurse plans care for the patient based on what knowledge?
- A. Rehabilitation measures cannot be initiated until spinal shock has resolved.
- B. The patient will need continuous monitoring for hypotension, tachycardia, and hypoxemia.
- C. Resolution of spinal shock is manifested by spasticity, hyperreflexia, and reflex emptying of the bladder.
- D. The patient will have complete loss of motor and sensory functions below the level of the injury but autonomic functions are not affected.
Correct Answer: C
Rationale: Spinal shock resolves with the return of reflex activity.