Nokea
The nurse recognizes that the major early problem for Mr. Gabatan will be:
- A. Bladder control
- B. Quadriceps setting
- C. Client education
- D. Use of aids for ambulation
Correct Answer: B
Rationale: The major early problem for Mr. Gabatan will likely be quadriceps setting. Quadriceps setting exercises are important for preventing muscle weakness and atrophy, especially after surgery or prolonged immobility. Strengthening the quadriceps muscles is essential for maintaining proper knee function, stability, and overall mobility. It is a crucial aspect of early rehabilitation and recovery for patients, particularly after orthopedic procedures such as joint replacements or fractures. Maintaining and improving quadriceps strength will also play a significant role in promoting Mr. Gabatan's independence and mobility during his recovery process.
You may also like to solve these questions
Which intervention should the nurse implement to maintain the skin integrity of the preterm newborn?
- A. Cleanse skin with a gentle alkaline-based soap and water.
- B. Cleanse skin with a neutral pH solution only when necessary.
- C. Thoroughly rinse skin with plain water after bathing in a mild hexachlorophene solution.
- D. Avoid cleaning skin.
Correct Answer: B
Rationale: Preterm newborns have delicate skin that is more susceptible to damage and irritation. Using a neutral pH solution for cleansing helps to maintain the skin's natural acidity and prevent disruption of the skin barrier. It is important to avoid over-bathing or using harsh alkaline-based soaps that can strip the skin of its natural oils and cause dryness or irritation. Cleansing the skin only when necessary helps to protect the fragile skin of preterm newborns and reduce the risk of skin breakdown or injury.
Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?
- A. At 1 to 2 years of age
- B. At I week to 1 year of age, peaking at 2 to 4 months
- C. At 6 months to 1 year of age, peaking at 10 months
- D. At 6 to 8 weeks of age
Correct Answer: B
Rationale: Sudden infant death syndrome (SIDS) is most likely to occur between the ages of 1 week to 1 year, with the highest risk period being between 2 to 4 months of age. While SIDS can occur up to the age of 1 year, the peak incidence is during the first 6 months of life. It is important to follow safe sleep practices, such as placing infants on their backs to sleep, to reduce the risk of SIDS during this vulnerable period.
A parent asks the nurse to define Talipes Varus. The nurse tells the parent that it is which of the following?
- A. An inversion or bending inward of the foot.
- B. An eversion or bending outward of the foot.
- C. A high arch of the foot.
- D. A low arch (flatfoot) of the foot.
Correct Answer: A
Rationale: Talipes Varus is a congenital deformity that involves the inward bending or inversion of the foot. The word "varus" specifically refers to the inward deviation of a body part, such as the foot in this case. This condition is also known as clubfoot, where the foot is twisted internally and downward. Treatment typically involves gentle manipulation and stretching of the foot, followed by casting or bracing to gradually correct the position of the foot.
A client who is receiving cyclosporine (Sandimmune) must practice good oral hygiene, including regular brushing and flossing of the teeth, to minimize gingival hyperplasia during long-term therapy with certain drugs. Which of the following drug falls into this category?
- A. Procainamide (Pronestyl)
- B. Phenytoin (Dilantin)
- C. Azathioprine (Imuran)
- D. Allopurinol (Zyloprim)
Correct Answer: B
Rationale: Gingival hyperplasia, or overgrowth of gum tissue, is a common side effect associated with certain medications, particularly anti-seizure medications like phenytoin (Dilantin). This side effect can be minimized through good oral hygiene practices, such as regular brushing and flossing of the teeth. The client must pay extra attention to oral care while taking phenytoin in order to prevent or reduce the severity of gingival hyperplasia. It is important for healthcare providers to educate clients on the importance of oral hygiene with medications associated with this side effect.
Which of the following parts of neuron transmits impulses away from the cell body?
- A. Dendrite
- B. Neurolemma
- C. Axon
- D. Synapse
Correct Answer: C
Rationale: The axon is the part of the neuron that transmits impulses away from the cell body. It is a long, slender extension of the neuron that conducts electrical signals known as action potentials to other cells. Dendrites, on the other hand, receive signals from other neurons and transmit them to the cell body. The neurolemma is a layer of cells surrounding the axon that facilitates nerve regeneration. The synapse is the junction between two neurons where signals are transmitted through neurotransmitters.