Nokea
The client diagnosed with multiple sclerosis is scheduled for a magnetic resonance imaging (MRI) scan of the head. Which information should the nurse teach the client about the test?
- A. The client will have wires attached to the scalp and lights will flash off and on.
- B. The machine will be loud and the client must not move the head during the test.
- C. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
- D. The test will be repeated at intervals during a five (5)- to six (6)-hour period.
Correct Answer: B
Rationale: An MRI is a loud procedure, and the client must remain still to ensure clear images. Contrast medium may be used, but it is not always required, and the test does not typically take 5-6 hours.
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Priority Decision: An immediate prosthetic fitting during surgery is used for a patient with a traumatic below-the-knee amputation. During the immediate postoperative period, what is a priority nursing intervention?
- A. Monitor the patient's vital signs.
- B. Assess the incision for hemorrhage.
- C. Elevate the residual limb on pillows.
- D. Have the patient flex and extend the knee every hour.
Correct Answer: B
Rationale: Hemorrhage is a critical concern post-amputation.
What surgical treatment will the nurse prepare the patient for in the presence of compartment syndrome?
- A. Fasciotomy
- B. Amputation
- C. Internal fixation
- D. Release of tendons
Correct Answer: A
Rationale: Fasciotomy relieves pressure in compartment syndrome.
The nurse determines what about the caregiver?
- A. The caregiver is also developing signs of AD.
- B. The caregiver is manifesting symptoms of caregiver role strain.
- C. The caregiver needs a period of respite from care of the patient.
- D. The caregiver should ask other family members to participate in the patient's care.
Correct Answer: B
Rationale: Symptoms like inability to concentrate indicate caregiver role strain
During a follow-up visit to a patient with acute osteomyelitis treated with IV antibiotics, the home health nurse is told by the patient's wife that she can hardly get the patient to eat because his mouth is so sore. In assessing the patient's mouth, what should the nurse expect to find?
- A. A dry, cracked tongue with a central furrow
- B. White, curdlike membranous lesions of the mucosa
- C. Ulcers of the mouth and lips surrounded by a reddened base
- D. Single or clustered vesicles on the tongue and buccal mucosa
Correct Answer: B
Rationale: Candidiasis (thrush) is a common side effect of antibiotic therapy.
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