Nokea
The patient's spinal cord injury is at T4. What is the highest-level goal of rehabilitation that is realistic for this patient to have?
- A. Indoor mobility in manual wheelchair
- B. Ambulate with crutches and leg braces
- C. Be independent in self-care and wheelchair use
- D. Completely independent ambulation with short leg braces and canes
Correct Answer: C
Rationale: Independence in self-care and wheelchair use is realistic for T4 injuries.
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The following are true about corneal sensation:
- A. the sensation is greatest at the apex and diminishes towards the limbus
- B. the temporal half of the cornea is more sensitive than the nasal half
- C. the Bonnet-Cochet aesthesiometer gives quantitative measure of the degree of hypoaesthesia
- D. all above
Correct Answer: D
Rationale: Corneal sensation is greatest at the apex, the temporal half is more sensitive, and the Bonnet-Cochet aesthesiometer quantifies hypoaesthesia. All statements are true.
What should the nurse include in the teaching plan for the patient with SLE?
- A. Ways to avoid exposure to sunlight
- B. Increasing dietary protein and carbohydrate intake
- C. The necessity of genetic counseling before planning a family
- D. The use of nonpharmacologic pain interventions instead of analgesics
Correct Answer: A
Rationale: Sun avoidance minimizes flare-ups.
Priority Decision: A patient has fallen in the bathroom of the hospital room and reports pain in the upper right arm and elbow. Before splinting the injury, the nurse knows that the priority management of a possible fracture should include which action?
- A. Elevation of the arm
- B. Application of ice to the site
- C. Notification of the health care provider
- D. Neurovascular checks below the site of the injury
Correct Answer: D
Rationale: Neurovascular checks ensure no compromise to blood supply or nerve function.
The earliest indication that Mr. Smith is developing increasing intracranial pressure is
- A. decreasing level of consciousness
- B. increasing systolic blood pressure
- C. slowing of respirations
- D. decreasing pulse rate
Correct Answer: A
Rationale: A decreasing level of consciousness is often the first sign of increased intracranial pressure.
Mrs. Brown's condition has just been diagnosed as multiple sclerosis. Which of the following would be most helpful in assisting her to live with her disease?
- A. Teaching her about specific diet restrictions
- B. Explaining the need for regular daily activity, rest, and relaxation
- C. Encouraging regular appointments with a psychotherapist
- D. Explaining that complete recovery can be expected
Correct Answer: B
Rationale: Regular activity, rest, and relaxation help manage symptoms.