Nokea
What key point will you teach the patient scheduled for endoscopic carpal tunnel release surgery?
- A. Pain and numbness will be experienced for several days to weeks.
- B. Immediately after surgery, the patient will no longer need assistance.
- C. After surgery, the dressing will be large with lots of drainage.
- D. After surgery, the pain and paresthesia will no longer be present.
Correct Answer: A
Rationale: Post-operative pain and numbness are common and expected outcomes.
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In performing range of motion (ROM) with a patient, the nurse puts each joint through its full movement. Which joints are capable of abduction and adduction (select all that apply)?
- A. Hip
- B. Knee
- C. Wrist
- D. Elbow
Correct Answer: A
Rationale: Hips, thumbs, and shoulders allow abduction/adduction.
Priority Decision: An immediate prosthetic fitting during surgery is used for a patient with a traumatic below-the-knee amputation. During the immediate postoperative period, what is a priority nursing intervention?
- A. Monitor the patient's vital signs.
- B. Assess the incision for hemorrhage.
- C. Elevate the residual limb on pillows.
- D. Have the patient flex and extend the knee every hour.
Correct Answer: B
Rationale: Hemorrhage is a critical concern post-amputation.
When teaching a patient with a seizure disorder about the medication regimen, what is it most important for the nurse to emphasize?
- A. The patient should increase the dosage of the medication if stress is increased.
- B. Most over-the-counter and prescription drugs are safe to take with antiseizure drugs.
- C. Stopping the medication abruptly may increase the intensity and frequency of seizures.
- D. If gingival hypertrophy occurs
Correct Answer: C
Rationale: Abrupt discontinuation of antiseizure drugs can lead to rebound seizures
The following methods can be used to test solely the rod ERG:
- A. a rapidly flickering light
- B. red light stimulus
- C. low-density blue light in dark adapted eye
- D. focal ERG
Correct Answer: C
Rationale: Low-density blue light in a dark-adapted eye selectively stimulates rods, isolating the rod ERG. Flickering light and red light stimulate cones, and focal ERG is not specific to rods.
Which of these locations in the forebrain is the master control center for homeostasis through the autonomic and endocrine systems?
- A. hypothalamus
- B. thalamus
- C. amygdala
- D. cerebral cortex
Correct Answer: A
Rationale: The correct answer is A: hypothalamus. The hypothalamus is the master control center for homeostasis as it regulates various bodily functions through the autonomic and endocrine systems. It plays a crucial role in maintaining body temperature, hunger, thirst, sleep, and hormone regulation. The thalamus (B) is responsible for sensory relay, the amygdala (C) is involved in emotion processing, and the cerebral cortex (D) is responsible for higher cognitive functions. Therefore, the hypothalamus is the correct choice for controlling homeostasis in the body.