Nokea
What is a nursing intervention that is appropriate for the patient with a nursing diagnosis of anxiety related to lack of knowledge of the etiology and treatment of headache?
- A. Help the patient to examine lifestyle patterns and precipitating factors.
- B. Administer medications as ordered to relieve pain and promote relaxation.
- C. Provide a quiet
- D. dimly lit environment to reduce stimuli that increase muscle tension and anxiety.
Correct Answer: C
Rationale: Reducing stimuli in the environment helps alleviate anxiety and muscle tension
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Which of the following signs and symptoms of increased ICP after head trauma would appear first?
- A. Bradycardia
- B. Large amounts of very dilute urine
- C. Restlessness and confusion
- D. Widened pulse pressure
Correct Answer: C
Rationale: Restlessness and confusion are often the earliest signs of increased ICP. These symptoms occur due to impaired cerebral perfusion and hypoxia. As ICP rises, it compresses brain tissue and blood vessels, leading to altered mental status. Bradycardia, widened pulse pressure, and changes in urine output are later signs of increased ICP and indicate more severe neurological compromise.
The ability that humans have to perform very skilled movements such as writing is controlled by the:
- A. Basal ganglia.
- B. Corticospinal tract.
- C. Spinothalamic tract.
- D. Extrapyramidal tract.
Correct Answer: B
Rationale: The correct answer is B: Corticospinal tract. The corticospinal tract is responsible for controlling voluntary skilled movements like writing. It carries motor commands from the primary motor cortex to the spinal cord, enabling precise movements of the hands and fingers. The basal ganglia (A) are involved in motor planning and coordination but not direct control of skilled movements. The spinothalamic tract (C) is responsible for transmitting sensory information related to pain and temperature, not motor control. The extrapyramidal tract (D) is involved in involuntary movements and posture regulation, not skilled movements like writing.
Preparing the body for "fight-or-flight" response during threatening situations is the role of the:
- A. sympathetic nervous system
- B. cerebrum
- C. parasympathetic nervous system
- D. somatic nervous system
Correct Answer: A
Rationale: The sympathetic nervous system prepares the body for 'fight-or-flight' responses during threatening situations by increasing heart rate, dilating pupils, and redirecting blood flow. The parasympathetic nervous system has the opposite effect, while the cerebrum, somatic nervous system, and afferent nervous system are not primarily responsible for this response. Thus, A is the correct answer.
Which action requires intervention by the charge nurse for an LPN/LVN caring for a patient with Paget's disease?
- A. Administers 600 mg of ibuprofen to the patient.
- B. Encourages the patient to perform PT recommended exercises.
- C. Applies ice and gentle massage to the patient's lower extremities.
- D. Reminds the patient to drink milk and eat cottage cheese.
Correct Answer: C
Rationale: Applying ice and massage without specific instructions may not be appropriate and could potentially cause harm.
As Susan prepares for discharge, it is essential to teach her to
- A. take anticholinergic drugs as ordered with meals
- B. avoid respiratory infection
- C. increase activities
- D. take sedatives to ensure sound sleep
Correct Answer: B
Rationale: Respiratory infections can exacerbate myasthenia gravis symptoms.