Nokea
When obtaining information about the patient's use of medications, the nurse recognizes that both bone and muscle function may be impaired when the patient reports taking what type of drug?
- A. Corticosteroids
- B. Oral hypoglycemic agents
- C. Potassium-depleting diuretics
- D. Nonsteroidal antiinflammatory drugs (NSAIDs)
Correct Answer: A
Rationale: Corticosteroids weaken bones and muscles.
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A patient with gout is treated with drug therapy to prevent future attacks. The nurse teaches the patient that what is most important for the patient to do?
- A. Avoid all foods high in purine, such as organ meats.
- B. Have periodic determination of serum uric acid levels.
- C. Increase the dosage of medication with the onset of an acute attack.
- D. Perform active range of motion (ROM) of all joints that have been affected by gout.
Correct Answer: B
Rationale: Monitoring uric acid levels ensures treatment efficacy.
A 72-year-old patient with moderate-severe PD was placed on carbidopa/levodopa 25/100 mg three times a day by his primary care physician. He is complaining of nausea and stomach upset since starting the medication. The best recommendation is to:
- A. Increase the carbidopa/levodopa dose by 50%.
- B. Discontinue the medication and switch to rasagiline.
- C. Discontinue the medication and switch to a ropinirole.
- D. Recommend taking carbidopa/levodopa with a nonprotein snack.
Correct Answer: D
Rationale: Taking carbidopa/levodopa with a nonprotein snack can help reduce nausea, as protein can interfere with its absorption.
Which joint surgery is used to arthroscopically remove degenerative tissue in joints?
- A. Osteotomy
- B. Arthrodesis
- C. Debridement
- D. Synovectomy
Correct Answer: C
Rationale: Debridement removes damaged tissue arthroscopically.
Apraxia involves an inability to undertake learned and purposeful activities such as dressing, cooking etc., and means that sufferers must rely increasingly on caregivers to help with these activities. Limb apraxia is a common symptom of left hemisphere damage and consists of a deficit in performing gestures to verbal command or imitation. One form of rehabilitation training for limb apraxia is:
- A. Gestural training.
- B. Mime training.
- C. Motor training.
- D. Replication training.
Correct Answer: A
Rationale: Gestural training is a rehabilitation technique used to improve limb apraxia, a condition characterized by difficulty in performing purposeful movements. This training involves teaching individuals to recognize and execute appropriate gestures and postures, enhancing their ability to perform daily activities. By focusing on the coordination of movements and the context in which they are used, gestural training helps individuals regain functional independence and reduce reliance on caregivers.
Which of the following would the nurse assess first when Joe arrives in the emergency room?
- A. Movement of fingers
- B. Pain sensation in legs
- C. Respiratory rate
- D. Temperature sensation in arms
Correct Answer: C
Rationale: Respiratory function is prioritized in spinal injuries.