Nokea
What is the purpose of performing the Romberg test?
- A. To assess the patient's balance and proprioception.
- B. To measure the patient's blood pressure.
- C. To inspect the patient's skin color.
- D. To check the patient's hearing ability.
Correct Answer: A
Rationale: The Romberg test evaluates balance and proprioception by having the patient stand with eyes closed. Blood pressure, skin color, and hearing are unrelated to this test.
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Benzodiazepine medication is being used to help manage this patient's behavior?
- A. Sertraline (Zoloft)
- B. Donepezil (Aricept)
- C. Lorazepam (Ativan)
- D. Risperidone (Risperdal)
Correct Answer: C
Rationale: Lorazepam is a benzodiazepine used for agitation
When an individual displays a deficit in the comprehension of speech involving difficulties in recognising spoken words and converting thoughts into words is known as
- A. Wernicke's aphasia
- B. Broca's aphasia
- C. Beidecker's aphasia
- D. Warnick's aphasia
Correct Answer: A
Rationale: Wernicke's aphasia is a language disorder characterized by difficulties in understanding spoken language and converting thoughts into coherent speech. Individuals with this condition may produce fluent but nonsensical speech and struggle to recognize spoken words. This condition results from damage to Wernicke's area, a region in the temporal lobe responsible for language comprehension.
The client is having a lumbar puncture performed. The nurse would plan to place the client in which position for the procedure?
- A. Side-lying, with legs pulled up and head bent down onto the chest
- B. Side-lying, with a pillow under the hip
- C. Prone, in a slight Trendelenburg's position
- D. Prone, with a pillow under the abdomen
Correct Answer: A
Rationale: The side-lying position with legs pulled up and head bent down onto the chest is the standard position for a lumbar puncture. This position maximizes the space between the vertebrae, allowing easier access to the subarachnoid space for cerebrospinal fluid (CSF) collection. Proper positioning is critical to ensure the procedure is performed safely and effectively.
The earliest indication that Mr. Smith is developing increasing intracranial pressure is
- A. decreasing level of consciousness
- B. increasing systolic blood pressure
- C. slowing of respirations
- D. decreasing pulse rate
Correct Answer: A
Rationale: A decreasing level of consciousness is often the first sign of increased intracranial pressure.
What should the nurse explain about levodopa?
- A. It stimulates dopamine receptors in the basal ganglia.
- B. It promotes the release of dopamine from brain neurons.
- C. It is a precursor of dopamine that is converted to dopamine in the brain.
- D. It prevents the excessive breakdown of dopamine in the peripheral tissues.
Correct Answer: C
Rationale: Levodopa is a precursor of dopamine that crosses the blood-brain barrier