When caring for a patient in the severe stage of AD, what diversion or distraction activities would be appropriate?
- A. Watching TV
- B. Playing games
- C. Books to read
- D. Mobiles or dangling ribbons
Correct Answer: D
Rationale: In severe AD, simpler sensory stimulation like mobiles or dangling ribbons may be more appropriate.
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Which medication is the precursor for dopamine?
- A. retrodopa
- B. levodopa
- C. monoamine oxidase
- D. carbidopa
Correct Answer: B
Rationale: Levodopa is a precursor to dopamine and is the most effective medication for managing the motor symptoms of Parkinson's disease. It crosses the blood-brain barrier and is converted into dopamine in the brain.
A patient is diagnosed with a health problem that alters the way impulses are conducted in the neurological system. When reviewing this information with the patient, which part of a neuron should the nurse teach carries impulses toward the cell body?
- A. Axon
- B. Dendrite
- C. Schwann cell
- D. Myelin sheath
Correct Answer: B
Rationale: Dendrites are extensions of the neuron that carry impulses toward the cell body. Axons transmit impulses away from the cell body, while Schwann cells and the myelin sheath are involved in insulating and speeding up nerve impulse transmission. Understanding the role of dendrites is crucial for explaining how neurons communicate.
What is a disadvantage of open reduction and internal fixation of a fracture compared to closed reduction?
- A. Infection
- B. Skin irritation
- C. Nerve impairment
- D. Complications of immobility
Correct Answer: A
Rationale: Open reduction involves surgery, which increases the risk of infection.
You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene?
- A. The student instructs the patient to sit up straight, resulting in the patient's puzzled expression.
- B. The student moves the patient's tray to the right side of her over-bed tray.
- C. The student assists the patient with passive range-of-motion (ROM) exercises.
- D. The student combs the left side of the patient's hair when the patient combs only the right side.
Correct Answer: A
Rationale: Right hemisphere strokes can impair spatial perception; instructions may need to be simplified or demonstrated.
During the patient's process of grieving for the losses resulting from spinal cord injury, what should the nurse do?
- A. Help the patient to understand that working through the grief will be a lifelong process
- B. Assist the patient to move through all stages of the mourning process to acceptance
- C. Let the patient know that anger directed at the staff or the family is not a positive coping mechanism
- D. Facilitate the grieving process so that it is completed by the time the patient is discharged from rehabilitation
Correct Answer: A
Rationale: Grieving is a long-term process requiring ongoing support.