Nokea
The nurse educator is discussing neoplasms with a group of recent graduates. The educator explains that the effects of neoplasms are caused by the compression and infiltration of normal tissue. The physiologic changes that result can cause what pathophysiologic events? Select all that apply.
- A. Intracranial hemorrhage
- B. Infection of cerebrospinal fluid
- C. Increased ICP
- D. Focal neurologic signs
- E. Altered pituitary function
Correct Answer: C,D,E
Rationale: Neoplasms cause increased ICP, focal neurologic signs, and altered pituitary function through compression. Hemorrhage and CSF infection are not typical effects.
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The nurse in an extended care facility is planning the daily activities of a patient with postpolio syndrome. The nurse recognizes the patient will best benefit from physical therapy when it is scheduled at what time?
- A. Immediately after meals
- B. In the morning
- C. Before bedtime
- D. In the early evening
Correct Answer: B
Rationale: Morning physical therapy maximizes benefit in postpolio syndrome, as fatigue worsens later in the day.
A patient, brought to the clinic by his wife and son, is diagnosed with Huntington disease. When providing anticipatory guidance, the nurse should address the future possibility of what effect of Huntington disease?
- A. Metastasis
- B. Risk for stroke
- C. Emotional and personality changes
- D. Pathologic bone fractures
Correct Answer: C
Rationale: Huntington's disease causes significant emotional and personality changes due to neurologic degeneration. It is not malignant, nor does it increase stroke or fracture risk.
A family member of a patient diagnosed with Huntington disease calls you at the clinic. She is requesting help from the Huntingtons Disease Society of America. What kind of help can this patient and family receive from this organization? Select all that apply.
- A. Information about this disease
- B. Referrals
- C. Public education
- D. Individual assessments
- E. Appraisals of research studies
Correct Answer: A,B,C
Rationale: The Huntington's Disease Society of America provides information, referrals, and public education. It does not offer individual assessments or research appraisals.
The nurse caring for a patient diagnosed with Parkinsons disease has prepared a plan of care that would include what goal?
- A. Promoting effective communication
- B. Controlling diarrhea
- C. Preventing cognitive decline
- D. Managing choreiform movements
Correct Answer: A
Rationale: Effective communication is a key goal in Parkinson's due to speech difficulties. Diarrhea and choreiform movements are not typical, and cognition is largely preserved.
A patient diagnosed with a pituitary adenoma has arrived on the neurologic unit. When planning the patients care, the nurse should be aware that the effects of the tumor will primarily depend on what variable?
- A. Whether the tumor utilizes aerobic or anaerobic respiration
- B. The specific hormones secreted by the tumor
- C. The patients pre-existing health status
- D. Whether the tumor is primary or the result of metastasis
Correct Answer: B
Rationale: Pituitary adenoma effects depend on the hormones it secretes, impacting bodily functions. Respiration type, health status, or tumor origin are less determinative.