Nokea
The patient with osteoporosis had a spontaneous hip fracture. How should the nurse document this before the x-ray results return?
- A. Open fracture
- B. Oblique fracture
- C. Pathologic fracture
- D. Greenstick fracture
Correct Answer: C
Rationale: Pathologic fractures occur due to weakened bone structure, such as in osteoporosis.
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When the patient has a rapidly growing brain tumor, what slows expansion of cerebral brain tissue into the adjacent hemisphere?
- A. Ventricles
- B. Falx cerebri
- C. Arachnoid layer
- D. Tentorium cerebella
Correct Answer: B
Rationale: The falx cerebri limits the expansion of brain tissue into adjacent hemispheres.
A 72-year-old patient with moderate-severe PD was placed on carbidopa/levodopa 25/100 mg three times a day by his primary care physician. He is complaining of nausea and stomach upset since starting the medication. The best recommendation is to:
- A. Increase the carbidopa/levodopa dose by 50%.
- B. Discontinue the medication and switch to rasagiline.
- C. Discontinue the medication and switch to a ropinirole.
- D. Recommend taking carbidopa/levodopa with a nonprotein snack.
Correct Answer: D
Rationale: Taking carbidopa/levodopa with a nonprotein snack can help reduce nausea, as protein can interfere with its absorption.
What is going to happen to a patient with multiple sclerosis (MS)?
- A. You will have either periods of attacks and remissions or progression of nerve damage over time.
- B. You need to plan for a continuous loss of movement
- C. sensory functions
- D. and mental capabilities.
Correct Answer: A
Rationale: MS can follow relapsing-remitting or progressive courses
A 24-year-old patient with a 12-year history of Becker muscular dystrophy is hospitalized with heart failure. What is an appropriate nursing intervention for this patient?
- A. Feed and bathe the patient to avoid exhausting the muscle.
- B. Reposition frequently to avoid skin and respiratory complications.
- C. Provide hand weights for the patient to exercise the upper extremities.
- D. Use orthopedic braces to promote ambulation and prevent muscle wasting.
Correct Answer: B
Rationale: Frequent repositioning prevents complications.
How is urinary function maintained during the acute phase of spinal cord injury?
- A. An indwelling catheter
- B. Intermittent catheterization
- C. Insertion of a suprapubic catheter
- D. Use of incontinent pads to protect the skin
Correct Answer: A
Rationale: An indwelling catheter is standard during the acute phase.