Nokea
To assess a patient's recent memory, the nurse should:
- A. Ask the patient to recall recent events or conversations.
- B. Check the patient's ability to recognize familiar faces.
- C. Measure the patient's blood pressure.
- D. Inspect the patient's gait.
Correct Answer: A
Rationale: Recent memory is assessed by asking the patient to recall recent events or conversations. Recognizing faces, blood pressure, and gait are unrelated to memory assessment.
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When taking Mr. Sands' health history, which question would be especially important to ask?
- A. Do you have any back pain or flank tenderness?
- B. Does cold affect your hands in any way?
- C. Do you have any difficulty chewing or swallowing?
- D. Do you have any joint tenderness or stiffness?
Correct Answer: C
Rationale: Difficulty chewing or swallowing is a key symptom of reflux esophagitis.
The health care provider has ordered IV dopamine (Intropin) for a patient in the emergency department with a spinal cord injury. The nurse determines that the drug is having the desired effect when what is observed in patient assessment?
- A. Heart rate of 68 bpm
- B. Respiratory rate of 24
- C. Blood pressure of 106/82 mm Hg
- D. Temperature of 96.8°F (36.0°C)
Correct Answer: C
Rationale: Improved blood pressure indicates effective treatment.
During assessment of the patient diagnosed with fibromyalgia, what should the nurse expect the patient to report?
- A. Generalized muscle twitching and spasms
- B. Nonrestorative sleep with resulting fatigue
- C. Profound and progressive muscle weakness that limits ADLs
- D. Widespread musculoskeletal pain that is accompanied by inflammation and fever
Correct Answer: B
Rationale: Nonrestorative sleep is a hallmark of fibromyalgia.
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.
Which of these locations in the forebrain is the master control center for homeostasis through the autonomic and endocrine systems?
- A. hypothalamus
- B. thalamus
- C. amygdala
- D. cerebral cortex
Correct Answer: A
Rationale: The correct answer is A: hypothalamus. The hypothalamus is the master control center for homeostasis as it regulates various bodily functions through the autonomic and endocrine systems. It plays a crucial role in maintaining body temperature, hunger, thirst, sleep, and hormone regulation. The thalamus (B) is responsible for sensory relay, the amygdala (C) is involved in emotion processing, and the cerebral cortex (D) is responsible for higher cognitive functions. Therefore, the hypothalamus is the correct choice for controlling homeostasis in the body.