Nokea
The patient asks, 'What does the doctor mean when he says that I have an avulsion fracture in my leg? I thought I had a sprain!' What is the best response by the nurse?
- A. It is a fracture with more than two fragments
- B. It means that a ligament pulled a bone fragment loose
- C. The line of the fracture is twisted along the shaft of the bone
- D. The line of the fracture is at right angles to the longitudinal axis of the bone
Correct Answer: B
Rationale: An avulsion fracture occurs when a ligament or tendon pulls a piece of bone away from its main body.
You may also like to solve these questions
Dysdiadochokinesia refers to ___________.
- A. inability to walk
- B. excessive movements of the appendages
- C. ignoring one side of the body opposite brain damage
- D. inability to do alternating movements
Correct Answer: D
Rationale: Dysdiadochokinesia is the inability to perform rapid alternating movements, such as pronation and supination of the hand. It is often a sign of cerebellar dysfunction, which affects motor coordination.
A positive Plantar reflex in an adult is:
- A. Dorsiflexion of the big toe and fanning of all toes
- B. Plantar flexion of the big toe with a fanning of all toes
- C. The expected response in a health adult
- D. Withdrawl of the stimulated extremity from the stimulus
Correct Answer: A
Rationale: A positive Babinski sign (Plantar reflex) in adults is abnormal and indicates upper motor neuron dysfunction. It is characterized by dorsiflexion of the big toe and fanning of the other toes. In healthy adults, the normal response is plantar flexion of the toes.
What is an appropriate nursing intervention to promote communication during rehabilitation of the patient with aphasia?
- A. Use gestures
- B. pictures
- C. and music to stimulate patient responses.
- D. Talk about activities of daily living (ADLs) that are familiar to the patient.
Correct Answer: A
Rationale: Non-verbal cues and familiar topics help facilitate communication in patients with aphasia
A husband visiting his wife in the hospital suddenly becomes confused and has difficulty with speech and starts slurring his words. The physician caring for his wife recognizes this as a cerebrovascular accident. What would you expect the physician to do?
- A. Administer TPA since this is within 3 hours of the CVS.
- B. Assess if the husband had an ischemic or hemorrhagic CVS.
- C. Tell the husband to go home, get rest, and to call the physician in the morning if the symptoms continue.
- D. Admit the husband and place him on bed rest.
Correct Answer: B
Rationale: It's critical to determine the type of stroke (ischemic or hemorrhagic) before treatment.
During muscle strength testing, the patient has active movement against gravity and some resistance to pressure. What score should the nurse give this finding?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: C
Rationale: Grade 4 indicates movement against gravity and moderate resistance.