Nokea
Priority Decision: Before repositioning the patient on the side after a lumbar laminectomy, what should be the nurse's first action?
- A. Raise the head of the bed 30 degrees.
- B. Have the patient flex the knees and hips.
- C. Place a pillow between the patient's legs.
- D. Have the patient grasp the side rail on the opposite side of the bed.
Correct Answer: A
Rationale: Raising the head of the bed stabilizes the spine.
You may also like to solve these questions
Which of the following is a branch of the mandibular nerve
- A. Infraorbital nerve
- B. External nasal nerve
- C. Zygomaticofacial nerve
- D. Auricolotemporal nerve
Correct Answer: D
Rationale: The auriculotemporal nerve is a branch of the mandibular division (V3) of the trigeminal nerve. It supplies sensation to the temple and external ear.
The ophthalmic division of the trigeminal nerve
- A. Enters the face via the inferior orbital fissure
- B. Supplies sympathetic fibres to constrictor papillae muscles
- C. Supplies sensation to the forehead and upper eyelid, excluding the orbit
- D. Gives five branches, two of which contain sympathetic as well as sensory fibres
Correct Answer: D
Rationale: The ophthalmic division (V1) of the trigeminal nerve gives five branches, including the lacrimal and frontal nerves, which supply sensation to the forehead and upper eyelid. It does not control eye movement.
A nursing student is teaching a patient and family about epilepsy prior to the patient's discharge. For which statement should you intervene?
- A. You should avoid consumption of all forms of alcohol.
- B. Wear your medical alert bracelet at all times.
- C. Protect your loved one's airway during a seizure.
- D. It's OK to take over-the-counter medications.
Correct Answer: D
Rationale: Over-the-counter medications can interact with antiepileptic drugs, so this advice is incorrect and requires intervention.
Which other extraarticular manifestation of RA is most likely to be seen in the patient with rheumatoid nodules?
- A. Lyme disease
- B. Felty syndrome
- C. Sjögren's
- D. Spondyloarthropathies
Correct Answer: B
Rationale: Felty syndrome involves splenomegaly and neutropenia.
The following are associated with cataract formation:
- A. dehydration
- B. smoking
- C. alcohol
- D. all above
Correct Answer: D
Rationale: Dehydration, smoking, and alcohol consumption are risk factors for cataract formation. These factors contribute to oxidative stress and lens protein damage, leading to opacification.