Nokea
To determine the size and location and to ascertain whether a stroke is ischemic or hemorrhagic, the nurse anticipates that the health care provider will request
- A. lumbar puncture.
- B. cerebral arteriogram.
- C. magnetic resonance imaging (MRI).
- D. computed tomography (CT) scan with contrast.
Correct Answer: D
Rationale: CT scan with contrast can differentiate between ischemic and hemorrhagic strokes by identifying areas of bleeding or infarction
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A patient is diagnosed with a health problem that alters the way impulses are conducted in the neurological system. When reviewing this information with the patient, which part of a neuron should the nurse teach carries impulses toward the cell body?
- A. Axon
- B. Dendrite
- C. Schwann cell
- D. Myelin sheath
Correct Answer: B
Rationale: Dendrites are extensions of the neuron that carry impulses toward the cell body. Axons transmit impulses away from the cell body, while Schwann cells and the myelin sheath are involved in insulating and speeding up nerve impulse transmission. Understanding the role of dendrites is crucial for explaining how neurons communicate.
Which intervention should you delegate to the nursing assistant for a patient with osteoporosis and risk for falls?
- A. Identify environmental factors that increase risk for falls.
- B. Monitor gait, balance, and fatigue level with ambulation.
- C. Collaborate with physical therapy to provide patient with walker.
- D. Assist the patient with ambulation to bathroom and in halls.
Correct Answer: D
Rationale: Assisting with ambulation is a task that can be safely delegated to a nursing assistant.
The ophthalmic division of the trigeminal nerve
- A. Enters the face via the inferior orbital fissure
- B. Supplies sympathetic fibres to constrictor papillae muscles
- C. Supplies sensation to the forehead and upper eyelid, excluding the orbit
- D. Gives five branches, two of which contain sympathetic as well as sensory fibres
Correct Answer: D
Rationale: The ophthalmic division (V1) of the trigeminal nerve gives five branches, including the lacrimal and frontal nerves, which supply sensation to the forehead and upper eyelid. It does not control eye movement.
During the rehabilitative phase following his cerebrovascular accident Mr. K. is taught measures to relieve or prevent constipation. Which of these statements indicates that Mr. K. needs further health teaching?
- A. I eat whole-wheat bread with my meals.
- B. I eat fruit three times a day.
- C. I don't drink fluids after 4 P.M.
- D. I don't like to take enemas.
Correct Answer: C
Rationale: Restricted fluid intake contributes to constipation.
Any of the following syndromes is the involuntary movement EXCEPT:
- A. chorea
- B. tic
- C. tremor
- D. paresis
Correct Answer: D
Rationale: Paresis is the correct answer because it refers to weakness or partial paralysis, which is not an involuntary movement. In contrast, chorea, tics, and tremor are all types of hyperkinetic movements that occur without voluntary control and are associated with various neurological disorders.