Nokea
The clinical diagnosis of parkinsonism is based on the presence of bradykinesia and at least one of three other features: muscular rigidity, resting tremor, and:
- A. Dystonia
- B. Nystagmus
- C. Postural instability
- D. Seizures
Correct Answer: C
Rationale: Postural instability is a key feature of parkinsonism, along with bradykinesia, rigidity, and resting tremor. It contributes to the risk of falls and mobility issues.
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You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.6°F orally. Which collaborative intervention must be accomplished first?
- A. Administer codeine 15 mg orally for the patient's headache.
- B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.
- C. Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.
- D. Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.
Correct Answer: B
Rationale: Treating the underlying infection is the priority in bacterial meningitis.
True statements about the aqueous include:
- A. the production is about 2 ul/min
- B. the endothelium contribute to the production of aqueous
- C. its production decreases with age
- D. all above
Correct Answer: D
Rationale: Aqueous humor is produced at a rate of about 2 µL/min, primarily by the ciliary epithelium. The endothelium does not contribute to its production. Aqueous production decreases with age, which can affect intraocular pressure regulation.
Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder: Disturbed personal identity, related to:
- A. obsessive fears of harming self or others.
- B. poor impulse control and lack of self-confidence.
- C. depressed mood secondary to nightmares and intrusive thoughts.
- D. cognitive distortions associated with unresolved childhood abuse issues.
Correct Answer: D
Rationale: The correct answer is D because dissociative identity disorder (DID) is often linked to unresolved childhood abuse issues, leading to fragmentation of identity as a coping mechanism. This is supported by research showing a high prevalence of childhood trauma among individuals with DID. Option A is incorrect because it relates more to anxiety disorders. Option B is incorrect as it describes traits more associated with personality disorders. Option C is incorrect as it pertains to mood disorders like depression, which are not the primary etiology of DID.
A client has had multiple sclerosis (MS) for 15 years and has received various drug therapies. What is the primary reason why the nurse has found it difficult to evaluate the effectiveness of the drugs that the client has used?
- A. The client exhibits intolerance to many drugs
- B. The client experiences spontaneous remissions from time to time
- C. The client requires multiple drugs simultaneously
- D. The client endures long periods of exacerbation before the illness responds to a particular drug
Correct Answer: B
Rationale: MS is characterized by periods of relapse and remission, making it difficult to evaluate the effectiveness of drug therapies due to spontaneous improvements.
Nystagmus with diplopia is a common side effect of anticonvulsants. Which of the following complaints would alert the nurse that the patient was experiencing nystagmus and diplopia?
- A. drowsiness
- B. drooping eyelids
- C. problems in reading
- D. excessive tearing
Correct Answer: C
Rationale: Problems in reading can indicate visual disturbances such as nystagmus and diplopia.