Nokea
The effect of glucagon include:
- A. ketogenesis
- B. glycogenolysis
- C. gluconeogenesis
- D. all above
Correct Answer: D
Rationale: Glucagon promotes ketogenesis, glycogenolysis, and gluconeogenesis to increase blood glucose levels. These effects are part of its role in maintaining energy homeostasis during fasting.
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When the nurse shines a light in a patient's left pupil, both of the pupils constrict. What type of response should the nurse document?
- A. Direct
- B. Abnormal
- C. Consensual
- D. Accommodation
Correct Answer: C
Rationale: A consensual response occurs when light shone in one eye causes both pupils to constrict. A direct response involves constriction of the illuminated pupil only, while accommodation is the ability to focus on near objects. Documenting a consensual response is important for assessing cranial nerve function.
Which treatment modality should a nurse recommend to help a patient diagnosed with somatic symptom disorder cope more effectively?
- A. Flooding
- B. Relaxation
- C. Response prevention
- D. Systematic desensitization
Correct Answer: B
Rationale: The correct answer is B: Relaxation. For a patient with somatic symptom disorder, relaxation techniques can help reduce anxiety and physical symptoms associated with the disorder. Relaxation promotes a sense of calm, reduces stress, and can improve coping skills. Flooding (A) involves exposing a patient to a feared stimulus in a sudden and intense manner, which can exacerbate symptoms in somatic symptom disorder. Response prevention (C) is used in treating obsessive-compulsive disorder, not somatic symptom disorder. Systematic desensitization (D) is a technique used for phobias, not somatic symptom disorder.
Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:
- A. I cannot recall why I'm living in this town.
- B. I feel as if I'm living in a fuzzy dream state.
- C. I feel like different parts of my body are at war.
- D. I feel very anxious and worried about my problems.
Correct Answer: A
Rationale: The correct answer is A because the key feature of dissociative amnesia with fugue is the inability to remember important personal information. In this case, the patient cannot recall why they are living in the current town, indicating a significant gap in memory. Choice B describes a feeling of disorientation, not memory loss. Choice C suggests dissociative identity disorder, not dissociative amnesia. Choice D focuses on anxiety, which is not a primary symptom of dissociative amnesia with fugue.
How can the nurse assist the patient and family in coping with the long-term effects of a stroke?
- A. Informing family members that the patient will need assistance with almost all ADLs
- B. Explaining that the patient's prestroke behavior will return as improvement progresses
- C. Encouraging the patient and family members to seek assistance from family therapy or stroke support groups
- D. Helping the patient and family to understand the significance of residual stroke damage to promote problem solving and planning
Correct Answer: C
Rationale: Support groups and understanding residual damage aid in long-term adaptation to stroke effects
To prevent strain on Mr. Tucker's back muscles, which nursing action is INAPPROPRIATE?
- A. To place him on bed pan, logroll using a turning sheet
- B. When lying on his side, flex upper leg and place a pillow between his knees
- C. When lying on his back, place pillows under entire length of his knees
- D. To turn him on his side, gently turn his shoulders and upper trunk first, prop with a pillow, then turn his pelvis and lower limbs
Correct Answer: D
Rationale: Turning the pelvis and lower limbs last can strain back muscles.