Nokea
The presence of hemianesthesia, hemianopia & sensory hemiataxia suggests damage to the following:
- A. internal capsule
- B. thalamus opticus
- C. spinal cord
- D. black substance
Correct Answer: B
Rationale: Thalamus opticus is the correct answer because it is a key relay station for sensory information, including pain, temperature, and visual signals. Damage to the thalamus can result in hemianesthesia (sensory loss on one side), hemianopia (visual field loss on one side), and sensory hemiataxia (loss of coordination on one side) due to disrupted sensory processing.
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Without surgical stabilization, what method of immobilization for the patient with a cervical spinal cord injury should the nurse expect to be used?
- A. Kinetic beds
- B. Hard cervical collar
- C. Skeletal traction with skull tongs
- D. Sternal-occipital-mandibular immobilizer brace
Correct Answer: D
Rationale: This brace provides rigid immobilization.
Which condition is transmitted through wound contamination, causes painful tonic spasms or seizures, and can be prevented by immunization?
- A. Tetanus
- B. Botulism
- C. Neurosyphilis
- D. Systemic inflammatory response syndrome
Correct Answer: A
Rationale: Tetanus fits the description provided.
The nurse is providing post-procedure care for a patient recovering from a lumbar puncture. Which order should the nurse anticipate for this patient?
- A. Keep the patient NPO for 4 hours.
- B. Have the patient lie flat for 6 hours.
- C. Monitor the patient's pedal pulses every 4 hours.
- D. Keep the head of the bed elevated 30 degrees for 8 hours.
Correct Answer: B
Rationale: After a lumbar puncture, the patient should lie flat for 6 to 8 hours to prevent cerebrospinal fluid leakage and reduce the risk of a spinal headache. Monitoring pedal pulses or elevating the head of the bed is not necessary. Proper post-procedure care minimizes complications.
One of the most widely used tests of executive functioning is the:
- A. Manhattan card sorting test.
- B. Quebec number sorting task.
- C. Wisconsin card sorting test.
- D. Minnesota number ordering test.
Correct Answer: C
Rationale: The Wisconsin Card Sorting Test (WCST) is a widely used neuropsychological test designed to assess executive functions, such as problem-solving, cognitive flexibility, and the ability to adapt to changing rules. During the test, individuals must sort cards based on different criteria (e.g., color, shape) and adjust their strategy when the sorting rules change. This test is particularly useful for evaluating frontal lobe function and identifying deficits in executive functioning.
The nurse enters the room of a client diagnosed with acute exacerbation of multiple sclerosis and finds the client crying. Which statement is the most therapeutic response for the nurse to make?
- A. Why are you crying? The medication will help the disease.
- B. You seem upset. I will sit down and we can talk for awhile.
- C. Multiple sclerosis is a disease that has good times and bad times.
- D. I will have the chaplain come and stay with you for a while.
Correct Answer: B
Rationale: Acknowledging the client's emotions and offering support is the most therapeutic response, as it validates their feelings and provides comfort.