Nokea
One of the most distressing problems experienced by the patient with ALS is
- A. Painful spasticity of the face and extremities
- B. Retention of cognitive function with total degeneration of motor function
- C. Uncontrollable writhing and twisting movements of the face
- D. limbs
Correct Answer: B
Rationale: Retention of cognitive function while losing motor abilities is emotionally distressing
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To preserve function and the ability to perform activities of daily living (ADLs), what should the nurse teach the patient with OA?
- A. Avoid exercise that involves the affected joints.
- B. Plan and organize task performance to be less stressful to joints.
- C. Maintain normal activities during an acute episode to prevent loss of function.
- D. Use mild analgesics to control symptoms when performing tasks that cause pain.
Correct Answer: B
Rationale: Task planning minimizes joint stress.
What key point will you teach the patient scheduled for endoscopic carpal tunnel release surgery?
- A. Pain and numbness will be experienced for several days to weeks.
- B. Immediately after surgery, the patient will no longer need assistance.
- C. After surgery, the dressing will be large with lots of drainage.
- D. After surgery, the pain and paresthesia will no longer be present.
Correct Answer: A
Rationale: Post-operative pain and numbness are common and expected outcomes.
Which layer of the uterus is shed during menstruation?
- A. Perimetrium
- B. Myometrium
- C. Endometrium
- D. Ectometrium
Correct Answer: C
Rationale: The endometrium is the correct answer because it is the inner lining of the uterus that thickens in preparation for pregnancy and is shed during menstruation if fertilization does not occur. This cyclical process is regulated by hormones such as estrogen and progesterone and is essential for reproductive health.
A female client informs the nurse that she overstretched her arm muscles when lifting a heavy suitcase, and now experiences inflammation, some tenderness, and muscle spasms. Which of the following problems is she most likely to have?
- A. Strain
- B. Contusion
- C. Sprain
- D. Avulsion fracture
Correct Answer: A
Rationale: A strain involves muscle or tendon injury, fitting the described symptoms.
The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action(s) to the LPN/LVN? (Chooseone that doesn't apply.)
- A. Check the patient's skin for pressure from device.
- B. Assess the patient's neurologic status for changes.
- C. Observe the halo insertion sites for signs of infection.
- D. Clean the halo insertion sites with hydrogen peroxide.
Correct Answer: B
Rationale: Skin checks, observing for infection, and cleaning insertion sites are tasks that can be performed by an LPN/LVN under supervision.