Nokea
What could the nurse delegate to unlicensed assistive personnel (UAP)?
- A. Complete the admission assessment.
- B. Explain the call system to the patient.
- C. Obtain the suction equipment from the supply cabinet.
- D. Place a padded tongue blade on the wall above the patient's bed.
Correct Answer: C
Rationale: Obtaining equipment is a task that can be delegated to UAP
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While obtaining a patient's medical history, you find that the patient is taking levodopa/carbidopa (Sinemet) for Parkinson's disease. Which of the following information in the patient's health history alerts you to take further action?
- A. Bradycardia
- B. Pancreatic disease
- C. Glaucoma
- D. Impaired hearing
Correct Answer: C
Rationale: The combination of levodopa and carbidopa, both dopamine-replacement drugs, can cause changes in intraocular pressure. Providers should not prescribe this drug combination for patients who have glaucoma, and in this case, the patient's drug therapy requires adjustment. Pancreatic disorders are not a contraindication for levodopa/carbidopa; instead, caution is required when using it with patients who have peptic ulcer disease. Hearing impairment is not a contraindication for levodopa/carbidopa; instead, it can cause a variety of vision disturbances.
The presence of Bell's palsy suggests damage to the following cranial nerve:
- A. facial
- B. optic
- C. olfactory
- D. vestibular
Correct Answer: A
Rationale: Facial nerve is the correct answer because Bell's palsy is a condition characterized by the sudden weakness or paralysis of the facial muscles on one side of the face due to inflammation or damage to the facial nerve (cranial nerve VII). This results in symptoms such as drooping of the mouth, inability to close the eye, and loss of facial expression.
Which of the following nursing interventions should be done in the case of a client who has a head injury obtained from being thrown off of a motorcycle?
- A. Assess LOC every hour or more often if needed
- B. Put the code cart outside the client's room
- C. Keep the client quiet in bed
- D. Allow one visitor at a time
Correct Answer: A
Rationale: Frequent assessments of LOC are critical to detect worsening neurological status.
In assessing Bob, which of the following complaints would indicate radial nerve injury?
- A. Pain at the fracture site
- B. Inability to extend the wrist
- C. Inability to flex the elbow
- D. Paralysis of the hand and forearm
Correct Answer: B
Rationale: The radial nerve primarily controls wrist extension; inability to extend the wrist indicates radial nerve damage.
Structures involved in colour vision include:
- A. parvocellular pathway
- B. superficial layer 4C of visual cortex
- C. superior colliculi
- D. geniculate layers 1-2
Correct Answer: A
Rationale: The parvocellular pathway is primarily responsible for colour vision and high spatial resolution. The superior colliculi and geniculate layers 1-2 are not directly involved in colour processing.