Nokea
What kind of loss does the nurse recognize this to be?
- A. Delirium
- B. Memory loss in AD
- C. Normal forgetfulness
- D. Memory loss in mild cognitive impairment
Correct Answer: C
Rationale: Forgetting names and birthdays is typical of normal forgetfulness
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You are providing care for a patient with an acute hemorrhagic stroke. The patient's husband has been reading a lot about strokes and asks why his wife did not receive alteplase. What is your best response?
- A. Your wife was not admitted within the time frame that alteplase is usually given.
- B. This drug is used primarily for patients who experience an acute heart attack.
- C. Alteplase dissolves clots and may cause more bleeding into your wife's brain.
- D. Your wife had gallbladder surgery just 6 months ago and this prevents the use of alteplase.
Correct Answer: C
Rationale: Alteplase increases the risk of bleeding, making it contraindicated in hemorrhagic stroke.
One of the most important functions of the autonomic nervous system is the following:
- A. regulation of homeostasis
- B. voluntary movements
- C. coordination of movements
- D. involuntary movements
Correct Answer: A
Rationale: Regulation of homeostasis is the correct answer because the autonomic nervous system controls vital functions such as heart rate, blood pressure, digestion, and temperature regulation. These processes are essential for maintaining the body's internal balance and ensuring survival.
To assess the patient's deep tendon reflexes, the nurse should:
- A. Use a reflex hammer to test responses in the biceps, triceps, and patellar tendons.
- B. Measure the patient's temperature.
- C. Inspect the patient's gait.
- D. Check the patient's level of consciousness.
Correct Answer: A
Rationale: Deep tendon reflexes are tested using a reflex hammer to elicit responses in specific tendons. Temperature, gait, and level of consciousness are unrelated to reflex testing.
A patient with severe joint immobility is receiving physical and exercise therapy. To evaluate the effect of the treatment, the nurse may assess joint range of motion with what equipment?
- A. Ergometer
- B. Myometer
- C. Goniometer
- D. Arthrometer
Correct Answer: C
Rationale: A goniometer measures joint angles.
Loss of muscle coordination results from damage to the:
- A. cerebrum
- B. hypothalamus
- C. cerebellum
- D. thalamus
Correct Answer: C
Rationale: The cerebellum is responsible for coordinating voluntary movements and maintaining balance. Damage to the cerebellum results in loss of muscle coordination. The cerebrum, hypothalamus, thalamus, and midbrain have different functions. Thus, C is the correct answer.