Nokea
The foremost observation to make when providing care to a patient in status epilepticus is
- A. hydration
- B. patency of airway
- C. temperature elevation
- D. response to environmental stimuli
Correct Answer: B
Rationale: Maintaining airway patency is critical in status epilepticus to ensure adequate oxygenation.
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Cell bodies for the motor supply of the facial nerve lie
- A. Hypothalamus
- B. Midbrain
- C. Floor of the third ventricle
- D. Pons
Correct Answer: D
Rationale: The motor nucleus of the facial nerve is located in the pons. It controls muscles of facial expression, such as the orbicularis oculi and buccinator.
Bradycardia can occur in response to:
- A. elevated intraocular pressure
- B. ocular massage
- C. pulling of the extraocular muscle
- D. all above
Correct Answer: D
Rationale: Bradycardia can be triggered by elevated intraocular pressure, ocular massage, or extraocular muscle manipulation due to the oculocardiac reflex.
What is a normal finding when assessing a patient's deep tendon reflexes?
- A. An involuntary contraction of the muscle being tested.
- B. Absence of any reflexive response.
- C. Decreased or diminished reflexes.
- D. Hyperactive reflexes with clonus.
Correct Answer: A
Rationale: Normal deep tendon reflexes involve an involuntary muscle contraction in response to stimulation. Absence, diminished reflexes, or hyperactive reflexes with clonus are abnormal findings.
Sometimes the impairments caused by an infection are minor, but if the sufferer is hosting the virus over many years it may induce multiple symptoms of motor and cognitive dysfunction and create a syndrome of impairment that is known as:
- A. HIV praecox.
- B. HIV dysphasis.
- C. HIV delusion.
- D. HIV dementia.
Correct Answer: D
Rationale: HIV dementia, also known as AIDS dementia complex (ADC) or HIV-associated dementia (HAD), is a syndrome of cognitive and motor dysfunction caused by the long-term effects of HIV infection on the brain. Symptoms include memory loss, difficulty concentrating, slowed thinking, and motor impairments. This condition results from the direct impact of the virus on the central nervous system and the immune system's response to the infection.
An older female client experiences a musculoskeletal injury to her hip. Which of the following methods would help a nurse identify any swelling in the client?
- A. Asking questions of the client to assess the severity of pain
- B. Palpating the muscles and joints
- C. Asking the client to move the injured area as much as possible
- D. Observing the client for any involuntary movements
Correct Answer: B
Rationale: Palpation is a direct method to assess swelling and other physical changes.