Nokea
Priority Decision: A patient has fallen in the bathroom of the hospital room and reports pain in the upper right arm and elbow. Before splinting the injury, the nurse knows that the priority management of a possible fracture should include which action?
- A. Elevation of the arm
- B. Application of ice to the site
- C. Notification of the health care provider
- D. Neurovascular checks below the site of the injury
Correct Answer: D
Rationale: Neurovascular checks ensure no compromise to blood supply or nerve function.
You may also like to solve these questions
A 26 year-old man was in a motor vehicle accident and suffered a complete spinal cord injury to L3. The nurse assesses the patient for loss of motor function in the:
- A. Legs
- B. Abdomen
- C. Chest
- D. Arms
Correct Answer: A
Rationale: A spinal cord injury at the L3 level affects motor function in the legs. The abdomen, chest, and arms are controlled by higher spinal cord levels (thoracic and cervical). Loss of motor function in the legs is consistent with an L3 injury.
In planning Mr. Smith's preoperative care to minimize the risk of an acute exacerbation, it will be most important to include
- A. discussion of postoperative care
- B. arrangements with dietary department to increase protein intake
- C. increased active and passive range-of-motion exercises
- D. time for Mr. Smith to share his feelings about the impending surgery
Correct Answer: C
Rationale: Exercise helps maintain joint function and reduces the risk of exacerbation.
The following are true about corneal sensation:
- A. the sensation is greatest at the apex and diminishes towards the limbus
- B. the temporal half of the cornea is more sensitive than the nasal half
- C. the Bonnet-Cochet aesthesiometer gives quantitative measure of the degree of hypoaesthesia
- D. all above
Correct Answer: D
Rationale: Corneal sensation is greatest at the apex, the temporal half is more sensitive, and the Bonnet-Cochet aesthesiometer quantifies hypoaesthesia. All statements are true.
A patient with chronic osteomyelitis has been hospitalized for a surgical debridement procedure. What does the nurse explain to the patient as the rationale for the surgical treatment?
- A. Removal of the infection prevents the need for bone and skin grafting.
- B. Formation of scar tissue has led to a protected area of bacterial growth.
- C. The process of depositing new bone blocks the vascular supply to the bone.
- D. Antibiotics are not effective against microorganisms that cause chronic osteomyelitis.
Correct Answer: D
Rationale: Surgical debridement removes infected tissue unreachable by antibiotics.
A sensory neuron of the peripheral nervous system take nerve impulses from sensory receptors to the ________ .
- A. motor neurons
- B. interneurons
- C. autonomic nervous system
- D. central nervous system
Correct Answer: D
Rationale: Sensory neurons in the peripheral nervous system (PNS) transmit nerve impulses from sensory receptors (e.g., in the skin, eyes, or ears) to the central nervous system (CNS), which includes the brain and spinal cord. These neurons play a crucial role in detecting external and internal stimuli, such as touch, temperature, and pain, and relaying this information to the CNS for processing and response.