The use of segments as a developmental strategy in vertebrates is evident in:
- A. the endoderm
- B. the axial skeleton, only
- C. the hindbrain, only
- D. both the axial skeleton and the hindbrain
Correct Answer: D
Rationale: Segmentation is a key developmental strategy in vertebrates, evident in structures like the axial skeleton (vertebrae) and the hindbrain (rhombomeres). This segmentation allows for the organized development of complex body plans and functional specialization along the antero-posterior axis.
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Which finding should the nursing assistant report immediately for a patient with a fractured femur?
- A. The patient complains of pain.
- B. The patient appears confused.
- C. The patient's blood pressure is 136/88.
- D. The patient voided using the bedpan.
Correct Answer: B
Rationale: Confusion could indicate a more serious underlying issue, such as reduced cerebral perfusion.
Which of the following nursing diagnoses pertains to a client with a neurological deficit in relation to his marriage?
- A. Risk for Disuse Syndrome related to musculoskeletal inactivity and neuromuscular impairment
- B. Total Urinary Incontinence or Urinary Retention related to effects of disease or injury to the nervous system or spinal cord nerves
- C. loss of bladder tone
- D. Impaired Physical Mobility related to muscle weakness and paralysis
Correct Answer: D
Rationale: Neurological deficits can affect sexual function, impacting relationships.
When obtaining information about the patient's use of medications, the nurse recognizes that both bone and muscle function may be impaired when the patient reports taking what type of drug?
- A. Corticosteroids
- B. Oral hypoglycemic agents
- C. Potassium-depleting diuretics
- D. Nonsteroidal antiinflammatory drugs (NSAIDs)
Correct Answer: A
Rationale: Corticosteroids weaken bones and muscles.
A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will:
- A. assume roles and functions of the other family members.
- B. demonstrate a resumption of former roles and tasks.
- C. focus energy on problems occurring in the family.
- D. rely on family members to meet his or her personal needs.
Correct Answer: B
Rationale: The correct answer is B: demonstrate a resumption of former roles and tasks. This outcome implies that the patient will regain the ability to fulfill their own roles and tasks within the family, indicating improvement in the interrupted family processes. This aligns with the goal of promoting the patient's independence and reducing the burden on other family members.
Choice A is incorrect because having the patient assume roles and functions of other family members does not address the underlying issue of the patient's somatic symptom disorder and may lead to further dysfunction within the family.
Choice C is incorrect as it suggests the patient should focus on problems in the family, which may not directly address the interrupted family processes related to the patient's symptoms.
Choice D is incorrect as it promotes dependency on family members to meet the patient's personal needs, which does not encourage the patient to regain their former roles and tasks within the family.
Following administration of 1.5 g of methocarbamol (Robaxin), which of the following statements by Mrs. Iris would inform the nurse that the medication was effective?
- A. I was thirsty after that medication.
- B. I have been urinating a lot today.
- C. Those awful muscle spasms have let up.
- D. The swelling in my leg seems to have gone down.
Correct Answer: C
Rationale: Methocarbamol is a muscle relaxant; relief from muscle spasms indicates effectiveness.