Nokea
The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action(s) to the LPN/LVN? (Chooseone that doesn't apply.)
- A. Check the patient's skin for pressure from device.
- B. Assess the patient's neurologic status for changes.
- C. Observe the halo insertion sites for signs of infection.
- D. Clean the halo insertion sites with hydrogen peroxide.
Correct Answer: B
Rationale: Skin checks, observing for infection, and cleaning insertion sites are tasks that can be performed by an LPN/LVN under supervision.
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The nurse teaches the patient with RA that which exercise is one of the most effective methods of aerobic exercise?
- A. Ballet dancing
- B. Casual walking
- C. Aquatic exercises
- D. Low-impact aerobic exercises
Correct Answer: C
Rationale: Aquatic exercises reduce joint stress.
Mr. Jay is receiving levodopa (L-dopa) to control symptoms of Parkinson disease. Which of the following indicates that he is taking his medication properly?
- A. Anorexia, nausea, and vomiting
- B. Transient hypertension
- C. Constipation
- D. Rapid reduction of rigidity
Correct Answer: D
Rationale: Levodopa effectively reduces rigidity when taken correctly.
In assisting Mrs. Aster to use her crutches during periods of severe hip joint pain, which gait will be the safest and most helpful to her?
- A. Two-point
- B. Three-point
- C. Four-point
- D. Swing-through
Correct Answer: B
Rationale: The three-point gait provides stability and reduces strain on the hip joint.
Which assessment finding suggests an issue with cranial nerve XI (Accessory nerve)?
- A. Weakness or atrophy of the sternocleidomastoid and trapezius muscles.
- B. Normal shoulder shrug and head turn strength.
- C. Equal and symmetrical shoulder movement.
- D. Clear and normal speech.
Correct Answer: A
Rationale: Cranial nerve XI (Accessory nerve) controls the sternocleidomastoid and trapezius muscles. Weakness or atrophy in these muscles indicates dysfunction. Normal strength, symmetrical movement, and clear speech are normal findings.
When teaching a patient with a seizure disorder about the medication regimen, what is it most important for the nurse to emphasize?
- A. The patient should increase the dosage of the medication if stress is increased.
- B. Most over-the-counter and prescription drugs are safe to take with antiseizure drugs.
- C. Stopping the medication abruptly may increase the intensity and frequency of seizures.
- D. If gingival hypertrophy occurs
Correct Answer: C
Rationale: Abrupt discontinuation of antiseizure drugs can lead to rebound seizures