Nokea
The nurse explains to a patient and family that the triad of signs of Parkinson disease is: ___, rigidity, and bradykinesia.
Correct Answer: tremor
Rationale: Tremor, rigidity, and bradykinesia are the triad that make up the signs of Parkinson disease.
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Which divisions are the two divisions of the nervous system?
- A. Somatic and the autonomic
- B. Cerebellum and the brainstem
- C. Medulla oblongata and the diencephalon
- D. Central and the peripheral
Correct Answer: D
Rationale: The central and the peripheral are the two divisions of the nervous system. The autonomic and the somatic are the division of the peripheral nervous system.
A patient is to have a myelogram to confirm the presence of a herniated intervertebral disk. Which nursing action will be planned with respect to this diagnostic test?
- A. Obtain an allergy history before the test.
- B. Ambulate the patient when returned to the room after the test.
- C. Use heated blanket to keep patient warm after procedure.
- D. Keep NPO for 6 to 8 hours after the test.
Correct Answer: A
Rationale: Before the dye is injected, patients must be asked whether they have any allergies, specifically whether they have had any anaphylactic or hypotensive episodes from other dyes.
Which factor is the nurse aware of when assessing a person with a craniocerebral injury?
- A. Most injuries of this type are irreversible.
- B. Open injuries are always more serious than closed injuries.
- C. Signs and symptoms may not occur until several days after the trauma.
- D. Trauma to the frontal lobe is more significant than to any other area.
Correct Answer: C
Rationale: If a patient who has been conscious for several days after head injury loses consciousness or develops neurologic signs and symptoms, a subdural hematoma should be suspected.
Which benefit do the drugs neostigmine and pyridostigmine have for the person with myasthenia gravis?
- A. Improves speech.
- B. Improves visual disturbances.
- C. Reduces pain.
- D. Promotes nerve impulse transmission.
Correct Answer: D
Rationale: Prostigmine and Mestinon improve the nerve impulses and alleviate the symptoms.
For which reason is a 'drug holiday' used in the treatment of Parkinson disease?
- A. Change all drugs.
- B. Allow the natural dopamine levels to rise.
- C. Restart drugs at a lower dosage with favorable results.
- D. Reduce the extrapyramidal symptoms.
Correct Answer: C
Rationale: A 'drug holiday' is a period when all drugs are withdrawn from the person with Parkinson disease. The drugs are then restarted at a lower dose with favorable results.