What part of a neuron is responsible for receiving information?
- A. axon
- B. terminal bre
- C. dendrite
- D. myelin sheath
Correct Answer: C
Rationale: Dendrites are the part of a neuron responsible for receiving information from other neurons. They are branched structures that extend from the cell body and contain receptors for neurotransmitters. When neurotransmitters bind to these receptors, they generate electrical signals that travel toward the cell body, initiating communication between neurons. Dendrites play a crucial role in integrating incoming signals and determining whether the neuron will fire an action potential.
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A client diagnosed with multiple sclerosis has an acute onset of visual changes, fatigue, and leg weakness. The client says that the last time this happened, recovery occurred in a few weeks. Which classification of multiple sclerosis is the client experiencing?
- A. Progressive-relapsing
- B. Secondary-progressive
- C. Relapsing-remitting
- D. Primary-progressive
Correct Answer: C
Rationale: Relapsing-remitting MS is characterized by periods of exacerbation followed by partial or complete recovery. This pattern matches the client's description of their symptoms.
The affection of cerebellar may produce any of the following EXCEPT:
- A. nystagmus
- B. ataxia
- C. dysmetria
- D. dyspraxia
Correct Answer: D
Rationale: Dyspraxia is the correct answer because it is a disorder of motor planning and execution, typically associated with damage to the frontal or parietal lobes, rather than the cerebellum. The cerebellum is responsible for coordination, balance, and fine motor control, so its dysfunction results in ataxia, dysmetria, and nystagmus.
A patient with OA asks the nurse whether he could try glucosamine and chondroitin for control of his symptoms. The best response by the nurse includes what information?
- A. Some patients find these supplements helpful for relieving arthritis pain and improving mobility.
- B. Although these substances may not help, there is no evidence that they can cause any untoward effects.
- C. These supplements are a fad that has not been shown to reduce pain or increase joint mobility in patients with OA.
- D. Only dosages of these supplements available by prescription are high enough to provide any benefit in treatment of OA.
Correct Answer: A
Rationale: Glucosamine and chondroitin may offer symptomatic relief.
A patient is seen at the outpatient clinic for a sudden onset of inflammation and severe pain in the great toe. A definitive diagnosis of gouty arthritis is made on the basis of what?
- A. A family history of gout
- B. Elevated urine uric acid levels
- C. Elevated serum uric acid levels
- D. Presence of monosodium urate crystals in synovial fluid
Correct Answer: D
Rationale: Monosodium urate crystals confirm gout.
Priority Decision: During assessment of a patient with a spinal cord injury, the nurse determines that the patient has a poor cough with diaphragmatic breathing. Based on this finding, what should be the nurse's first action?
- A. Institute frequent turning and repositioning
- B. Use tracheal suctioning to remove secretions
- C. Assess lung sounds and respiratory rate and depth
- D. Prepare the patient for endotracheal intubation and mechanical ventilation
Correct Answer: C
Rationale: Assessment ensures proper diagnosis before intervention.