Nokea
What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?
- A. Serratus anterior
- B. Intercostal
- C. Transversus abdominis
- D. Pectoralis major
Correct Answer: D
Rationale: Pectoralis major is the large, fan-shaped muscle that covers the anterior chest and is an adductor muscle, which will cause the shoulder to flex.
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The nurse clarifies to a patient who is being evaluated for possible rheumatoid arthritis that the elevated erythrocyte sedimentation rate (ESR) indicates the presence of which process?
- A. A chronic infection
- B. Poor protein intake
- C. Increased inflammatory reaction in the body.
- D. A poor immune response to a microorganism
Correct Answer: C
Rationale: The ESR indicates an increase in the inflammatory reactions in the body. An elevated ESR does not indicate a chronic infection, poor protein intake or a poor immune response to a microorganism.
The 14-year-old boy who is scheduled for left leg amputation says to the nurse, 'What in the world am I going to do with only one leg?' Which is the nurse's therapeutic response?
- A. This is a tough thing to go through'
- B. With a prosthesis, you will be as good as new.'
- C. It is way too early to be concerned about that now.'
- D. When my brother had his leg removed, he did great!'
Correct Answer: A
Rationale: The patient's concern should be acknowledged and the patient encouraged to express feelings. Telling the patient he will be as good as new is false reassurance and does not further encourage the patient to express feelings. The patient IS concerned about having to deal with one leg; telling the patient it is way too early to be concerned is inappropriate and nontherapeutic. The nurse is changing the subject when talking about the brother who also had his leg removed.
In order for a patient to flex the lower leg, which muscle must be contracted?
- A. Quadriceps
- B. Gastrocnemius
- C. Biceps femoris
- D. Rectus femoris
Correct Answer: C
Rationale: The contraction of the biceps femoris allows for the contraction of the lower leg.
Which patient statement indicates the need for additional teaching for a patient with rheumatoid arthritis who is taking meloxicam?
- A. I am keeping a daily record of my blood pressure.'
- B. I take aspirin before I go to bed.'
- C. I know I can take meloxicam with or without regard to meals.'
- D. I weigh every day so I will be aware of any weight gain.'
Correct Answer: B
Rationale: Aspirin or products containing aspirin should be avoided while taking meloxicam. While taking meloxicam, there is no reason to record blood pressure readings. This medication can be taken without regard to meals. Meloxicam does not cause weight gain.
The nurse administering the drug colchicine for gout will give $0.5 \mathrm{mg}$ hourly for hours.
Correct Answer: 12
Rationale: Colchicine is given orally in a dose of $0.5 \mathrm{mg}$ for a period of 12 hours or until relief from pain is achieved or diarrhea occurs.