Nokea
What should be included in the management during the first 48 hours after an acute soft tissue injury of the ankle (select one that doesn't apply)?
- A. Use of elastic wrap
- B. Initial immobilization and rest
- C. Elevation of ankle above the heart
- D. Alternating the use of heat and cold
Correct Answer: D
Rationale: The initial management includes rest, ice, compression, and elevation (RICE) to reduce swelling and pain.
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The woman with osteoporosis slipped on the ice and now her wrist hurts. If there is a fracture, what type of fracture is expected?
- A. Dislocation
- B. Open fracture
- C. Colles' fracture
- D. Incomplete fracture
Correct Answer: C
Rationale: Colles' fracture is common in osteoporosis-related wrist injuries.
The patient is diagnosed with Brown-Séquard syndrome after a knife wound to the spine. Which description accurately describes this syndrome?
- A. Damage to the most distal cord and nerve roots, resulting in flaccid paralysis of the lower limbs and areflexic bowel and bladder
- B. Spinal cord damage resulting in ipsilateral motor paralysis and contralateral loss of pain and sensation below the level of the lesion
- C. Rare cord damage resulting in loss of proprioception below the lesion level with retention of motor control and temperature and pain sensation
- D. Often caused by flexion injury with acute compression of cord resulting in complete motor paralysis and loss of pain and temperature sensation below the level of injury
Correct Answer: B
Rationale: Brown-Séquard syndrome involves ipsilateral motor deficits and contralateral sensory deficits.
MRS. Post is being discharged tomorrow on a regimen of prednisone and aspirin to control her symptoms of systemic lupus erythematosus. She should be told to call her physician immediately if which one of the following occurs?
- A. Missed menstrual period
- B. Inability to take oral medications because of vomiting
- C. Temperature elevated to 99.6°F
- D. Ankle edema
Correct Answer: B
Rationale: Vomiting can interfere with medication absorption and effectiveness.
Which patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been on the neurologic unit for 1 week?
- A. A 34-year-old patient newly diagnosed with multiple sclerosis (MS)
- B. A 68-year-old patient with chronic amyotrophic lateral sclerosis (ALS)
- C. A 56-year-old patient with Guillain-Barré syndrome (GBS) in respiratory distress
- D. A 25-year-old patient admitted with C4 level spinal cord injury (SCI)
Correct Answer: A
Rationale: A newly diagnosed MS patient would likely have stable conditions and be appropriate for a less experienced nurse.
Mrs. Rollo has been instructed to check her urine with a multiple test stick. For which abnormal finding should she be particularly alert and report to you when the test is positive?
- A. Glucose
- B. pH of 5
- C. Protein
- D. Ketones
Correct Answer: C
Rationale: Proteinuria can indicate kidney damage, a potential side effect of gold therapy.