Nokea
The nurse is caring for a client with ICP. Why will the nurse position the client in bed with HOB elevated to 30 degrees?
- A. Makes it easier for the client to breathe
- B. Prevents the Valsalva maneuver
- C. Promotes venous drainage
- D. Reduces pain
Correct Answer: C
Rationale: Elevating the head of the bed to 30 degrees promotes venous drainage from the brain, reducing intracranial pressure (ICP). This position helps improve cerebral perfusion and prevents complications associated with increased ICP, such as brain herniation.
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What is the major focus for care today for a patient who is 1 day post-operative after a left below-the-knee amputation?
- A. To attain pain control for phantom pain.
- B. To monitor for signs of sufficient tissue perfusion.
- C. To assist the patient to ambulate as soon as possible.
- D. To elevate the residual limb when the patient is supine.
Correct Answer: B
Rationale: Ensuring adequate tissue perfusion is critical in the immediate post-operative period to prevent complications.
The nurse writes the client problem of 'altered sexual functioning' for a male client diagnosed with multiple sclerosis (MS). Which intervention should be implemented?
- A. Encourage the couple to explore alternative ways of maintaining intimacy.
- B. Make an appointment with a psychotherapist to counsel the couple.
- C. Explain daily exercise will help increase libido and sexual arousal.
- D. Discuss the importance of keeping physically calm during sexual intercourse.
Correct Answer: A
Rationale: Exploring alternative ways to maintain intimacy can help the client and their partner adapt to changes in sexual functioning caused by MS.
In the development of the nervous system, which is the correct order of events?
- A. First, cells must be specified to be neurons, second, these neurons must make connections with their targets, third, the neurons must migrate to their final position, and fourth, the neurons refine their synaptic connections.
- B. First, cells must be specified to be neurons, second, the neurons must migrate to their final position, third, these neurons must make connections with their targets, and fourth, the neurons refine their synaptic connections.
- C. First, cells must migrate to their final position, second, these cells must be specified to be neurons, third, the neurons must make connections with their targets, and fourth, the neurons refine their synaptic connections.
- D. First, the prospective neurons must make connections with their targets, second, the neurons refine their synaptic connections, third, the neurons must migrate to their final position, and fourth, the cells are specified to become neurons.
Correct Answer: B
Rationale: The correct sequence of nervous system development involves: (1) specification of cells as neurons, (2) migration of neurons to their final positions, (3) formation of connections with targets, and (4) refinement of synaptic connections. This order ensures proper neural circuit formation and function. Specification occurs first, followed by migration, which positions neurons correctly. Axon outgrowth and target connection occur next, and finally, synaptic pruning and refinement optimize neural communication.
In the initial nursing assessment of Mr. Singer it is important to remember that malignant rheumatoid arthritis
- A. is limited to the synovial joints
- B. may also involve the heart, lungs, and other body systems
- C. is primarily an episodic disease
- D. affects primarily the proximal joints
Correct Answer: B
Rationale: Malignant rheumatoid arthritis can affect multiple organ systems beyond the joints.
Nurse Anderson is preparing to conduct an initial assessment of Mrs. Green, a 63-year-old woman admitted with Parkinson's Disease. She collaborates with the dietician to tailor Mrs. Green's diet, especially considering her medication, levodopa. Nurse Anderson discusses with the dietician about which type of food should be limited or avoided for a patient taking levodopa. What type of food should they focus on?
- A. Food rich in Vitamin B6.
- B. Food rich in Thiamine.
- C. Food rich in Vitamin E.
- D. Food rich in Vitamin C.
Correct Answer: A
Rationale: Vitamin B6 can interfere with the effectiveness of levodopa, so it should be limited in the diet of PD patients.