Nokea
The patient works on a computer 8 hours each day. What kind of repetitive strain injury would be expected in this patient?
- A. Meniscus injury
- B. Rotator cuff injury
- C. Radial-ulnar fracture
- D. Carpal tunnel syndrome
Correct Answer: D
Rationale: Carpal tunnel syndrome is a common repetitive strain injury associated with prolonged computer use.
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An alternative approach to dealing with attention deficits is not to try and improve attention itself, but to provide the client with some compensatory skills that will allow them to effectively manage their slowed information processing. This is knwn as:
- A. Information processing management (IPM).
- B. Time pressure management (TPM).
- C. Compensatory time management.
- D. Productive processing management (PPM).
Correct Answer: B
Rationale: Time Pressure Management (TPM) is a therapeutic approach designed to help individuals with attention deficits manage their slowed information processing. Instead of focusing on improving attention directly, TPM teaches compensatory strategies, such as breaking tasks into smaller steps, prioritizing activities, and using external aids like timers or reminders. This approach helps individuals adapt to their cognitive limitations and improve their ability to complete tasks efficiently.
Nurse Thompson is reviewing the neurological assessment of Mr. Johnson, a 70-year-old patient who exhibits tremors and slow movements. She recalls that these symptoms are often linked to a specific neurological disorder characterized by reduced dopamine levels due to the loss of pigmented neurons in the substantia nigra region of the basal ganglia. Which disease does Nurse Thompson recognize as associated with these findings?
- A. Multiple sclerosis.
- B. Huntington's disease.
- C. Creutzfeldt-Jakob's disease.
- D. Parkinson's disease.
Correct Answer: D
Rationale: Parkinson's disease is characterized by the loss of dopaminergic neurons in the substantia nigra, leading to tremors, bradykinesia, and rigidity.
A patient taking ibuprofen (Motrin) for treatment of OA has good pain relief but is experiencing increased dyspepsia and nausea with the drug's use. The nurse consults the patient's primary care provider about doing what?
- A. Adding misoprostol (Cytotec) to the patient's drug regimen
- B. Substituting naproxen (Naprosyn) for the ibuprofen (Motrin)
- C. Returning to the use of acetaminophen but at a dose of 5 g/day instead of 4 g/day
- D. Administering the ibuprofen with antacids to decrease the gastrointestinal (GI) irritation
Correct Answer: A
Rationale: Misoprostol protects the GI tract.
Following a T2 spinal cord injury, the patient develops paralytic ileus. While this condition is present, what should the nurse anticipate that the patient will need?
- A. IV fluids
- B. Tube feedings
- C. Parenteral nutrition
- D. Nasogastric suctioning
Correct Answer: A
Rationale: IV fluids maintain hydration during ileus.
A 40-year-old client presents with a complaint of morning stiffness in her hands, and painful joints of about 3 months duration. On physical examination, you note deviation of the fingers of both hands toward the ulnar side, and swelling and thickening of the proximal interphalangeal joints. You refer the client to a physician for diagnosis and treatment of what you expect to be
- A. osteoarthritis
- B. degenerative joint disease
- C. rheumatoid arthritis
- D. gouty arthritis
Correct Answer: C
Rationale: Symptoms such as morning stiffness, joint swelling, and ulnar deviation are characteristic of rheumatoid arthritis.