The presence of Laseuge sign suggests damage to the following:
- A. meninges of the brain
- B. spinal roots C5-C8 or radial nerve
- C. spinal roots L5-S1 or sciatic nerve
- D. anterior horns at the level L5-S1
Correct Answer: C
Rationale: Spinal roots L5-S1 or sciatic nerve is the correct answer because Lasegue's sign, also known as the straight leg raise test, is used to diagnose sciatica or lumbar radiculopathy. Pain elicited during this test indicates irritation or compression of the sciatic nerve or its roots, typically due to a herniated disc.
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Pons, cerebellum and medulla are part of which brain?
- A. Forebrain
- B. Midbrain
- C. Hindbrain
- D. None of the above
Correct Answer: C
Rationale: Hindbrain is the correct answer because it consists of the pons, cerebellum, and medulla oblongata. These structures are responsible for coordinating movement, balance, and vital autonomic functions such as breathing and heart rate.
In performing range of motion (ROM) with a patient, the nurse puts each joint through its full movement. Which joints are capable of abduction and adduction (select all that apply)?
- A. Hip
- B. Knee
- C. Wrist
- D. Elbow
Correct Answer: A
Rationale: Hips, thumbs, and shoulders allow abduction/adduction.
Which drug for epilepsy inhibits both vitamin D and folate metabolism?
- A. valproate
- B. carbamazepine
- C. gabapentin
- D. phenytoin
Correct Answer: D
Rationale: Phenytoin is an antiepileptic drug that can interfere with the metabolism of vitamin D and folate, leading to potential deficiencies. Patients on phenytoin often require supplementation to prevent complications like osteoporosis or anemia.
Impairments in language and communication may manifest in a variety of ways, including deficits in the production of speech (e.g. fluent aphasia), an inability to comprehend or understand speech, and an inability to initiate speech (e.g. nonfluent aphasia). A treatment used with aphasic patients required to communicate without gesturing or pointing is known as:
- A. Constraint-induced movement therapy (CIMT).
- B. Straight jacket therapy (SJT).
- C. Minimal movement therpay (MMT).
- D. Verbal communication initiation therapy (VCIT).
Correct Answer: A
Rationale: Constraint-Induced Movement Therapy (CIMT) is a rehabilitation technique used to improve verbal communication in individuals with aphasia. This approach involves restricting the use of compensatory strategies, such as gesturing or pointing, and encouraging the use of verbal responses. By focusing on intensive verbal practice, CIMT helps individuals regain their ability to communicate effectively and reduces reliance on non-verbal methods.
What would the nurse document if the client is unresponsive except to superficial, relatively mild painful stimuli to which the client makes some purposeful motor response?
- A. Client is somnolent or lethargic.
- B. Client is in a stuporous state.
- C. Client is semicomatose.
- D. Client is comatose.
Correct Answer: B
Rationale: A stuporous state indicates minimal response to stimuli.