Nokea
What does an abnormal finding in the assessment of the patient's motor function suggest?
- A. Possible neurological impairment or muscle weakness.
- B. Normal muscle strength and coordination.
- C. Absence of neurological symptoms.
- D. Stable and symmetrical muscle function.
Correct Answer: A
Rationale: Abnormal motor function findings, such as weakness or asymmetry, suggest possible neurological impairment. Normal strength, coordination, and stable function are expected findings.
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Which is the CORRECT myotome?
- A. S1 supplies hip abduction
- B. ?
- C. L3, 4 causes knee extension
- D. ?
Correct Answer: C
Rationale: The L3 and L4 nerve roots innervate the quadriceps muscles, which are responsible for knee extension. This is important in assessing lumbar nerve root function.
Mrs. Rollo has been instructed to check her urine with a multiple test stick. For which abnormal finding should she be particularly alert and report to you when the test is positive?
- A. Glucose
- B. pH of 5
- C. Protein
- D. Ketones
Correct Answer: C
Rationale: Proteinuria can indicate kidney damage, a potential side effect of gold therapy.
Mrs. C. has a right hemiplegia secondary to a cerebrovascular accident. To avoid aspiration during meals she would be instructed to avoid
- A. swallowing with her head slightly flexed
- B. placing food in the left side of her mouth
- C. eating in an upright position
- D. lying down immediately after eating
Correct Answer: A
Rationale: Head flexion can impair swallowing mechanics.
During treatment of the patient with an acute attack of gout, the nurse would expect to administer which drug?
- A. Aspirin
- B. Colchicine
- C. Allopurinol (Zyloprim)
- D. Probenecid (Benemid)
Correct Answer: B
Rationale: Colchicine treats acute gout attacks.
For the patient who has expressive aphasia following a cerebrovascular accident, the most therapeutic nursing intervention would be to
- A. keep verbal nurse-patient interchanges to a minimum
- B. talk to the patient as if he understands
- C. avoid using objects or gestures to communicate
- D. keep the sound of a radio or television audible in the background
Correct Answer: B
Rationale: Talking normally helps maintain cognitive engagement.