Nokea
What is the term for a loss of voluntary movement?
- A. akinesia
- B. aneurysm
- C. paraplegia
- D. epilepsy
Correct Answer: A
Rationale: Akinesia refers to the inability to initiate voluntary movement, often seen in neurological disorders like Parkinson's disease. It is distinct from paralysis, as it involves a lack of movement initiation rather than a loss of muscle function.
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Priority Decision: Before repositioning the patient on the side after a lumbar laminectomy, what should be the nurse's first action?
- A. Raise the head of the bed 30 degrees.
- B. Have the patient flex the knees and hips.
- C. Place a pillow between the patient's legs.
- D. Have the patient grasp the side rail on the opposite side of the bed.
Correct Answer: A
Rationale: Raising the head of the bed stabilizes the spine.
Which of these diseases does NOT require the introduction of foreign nucleic acid?
- A. kuru
- B. polio
- C. rabies
- D. St. Louis encephalitis
Correct Answer: A
Rationale: The correct answer is A (kuru) because kuru is a prion disease caused by misfolded proteins, not foreign nucleic acid. Polio, rabies, and St. Louis encephalitis are caused by viruses, which contain foreign nucleic acid. Prions do not contain nucleic acid and replicate by inducing misfolding of normal cellular proteins. Therefore, kuru does not require the introduction of foreign nucleic acid for its transmission and development.
Two days following a spinal cord injury, a patient asks continually about the extent of impairment that will result from the injury. What is the best response by the nurse?
- A. You will have more normal function when spinal shock resolves and the reflex arc returns.'
- B. The extent of your injury cannot be determined until the secondary injury to the cord is resolved.'
- C. When your condition is more stable, MRI will be done to reveal the extent of the cord damage.'
- D. Because long-term rehabilitation can affect the return of function, it will be years before we can tell what the complete effect will be.'
Correct Answer: B
Rationale: Secondary injury resolution is necessary to assess the full extent of the injury.
The nurse practitioner is reviewing the chart of a patient who is scheduled to receive their first dose of sumatriptan (Imitrex) in the clinic today. Past medical history is positive for only migraines. Which of the following requires further evaluation before the medication is administered?
- A. Recent naproxen (Naprosyn) use
- B. Current blood pressure 142/90 mmHg
- C. Resting pulse rate of 61 bpm
- D. Adverse reaction to ubrogepant (Ubrelvy)
Correct Answer: B
Rationale: The correct answer is B: Current blood pressure 142/90 mmHg. Before administering sumatriptan, the nurse practitioner should further evaluate the patient's elevated blood pressure to ensure it is not contraindicated for the medication. Sumatriptan can potentially increase blood pressure, so it is crucial to monitor and address any hypertension before giving the medication.
Choice A: Recent naproxen use is not a direct contraindication for sumatriptan. Both medications are commonly used together for migraine treatment.
Choice C: A resting pulse rate of 61 bpm is within the normal range and does not require further evaluation before administering sumatriptan.
Choice D: Adverse reaction to ubrogepant is not relevant for evaluating the safety of sumatriptan. Each medication has its own set of potential side effects and interactions.
A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The patient says, Although I'm still having pain, I notice it less and am able to perform more activities. The nurse should evaluate the treatment plan as:
- A. unsuccessful.
- B. minimally successful.
- C. partially successful.
- D. totally achieved.
Correct Answer: C
Rationale: The correct answer is C: partially successful. This is because the patient is showing improvement in symptoms and functioning, indicating some progress in treatment effectiveness. It is not considered unsuccessful (A) as there is improvement noted. It is not minimally successful (B) as the patient is experiencing noticeable improvement in pain and activity levels. It is also not totally achieved (D) as the patient still has some pain despite improvement in functioning. Overall, option C best reflects the patient's progress at this stage of treatment.