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Which action requires intervention by the charge nurse for an LPN/LVN caring for a patient with Paget's disease?
- A. Administers 600 mg of ibuprofen to the patient.
- B. Encourages the patient to perform PT recommended exercises.
- C. Applies ice and gentle massage to the patient's lower extremities.
- D. Reminds the patient to drink milk and eat cottage cheese.
Correct Answer: C
Rationale: Applying ice and massage without specific instructions may not be appropriate and could potentially cause harm.
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Surgical intervention is being considered for a patient with trigeminal neuralgia. The nurse recognizes that which procedure has the least residual effects with a positive outcome?
- A. Glycerol rhizotomy
- B. Gamma knife radiosurgery
- C. Microvascular decompression
- D. Percutaneous radiofrequency rhizotomy
Correct Answer: B
Rationale: Gamma knife radiosurgery offers minimal residual effects with good outcomes.
Select the correct etiology to complete this nursing diagnosis for a patient diagnosed with dissociative identity disorder: Disturbed personal identity, related to:
- A. obsessive fears of harming self or others.
- B. poor impulse control and lack of self-confidence.
- C. depressed mood secondary to nightmares and intrusive thoughts.
- D. cognitive distortions associated with unresolved childhood abuse issues.
Correct Answer: D
Rationale: The correct answer is D because dissociative identity disorder (DID) is often linked to unresolved childhood abuse issues, leading to fragmentation of identity as a coping mechanism. This is supported by research showing a high prevalence of childhood trauma among individuals with DID. Option A is incorrect because it relates more to anxiety disorders. Option B is incorrect as it describes traits more associated with personality disorders. Option C is incorrect as it pertains to mood disorders like depression, which are not the primary etiology of DID.
A patient with a fractured right hip has an anterior open reduction and internal fixation of the fracture. What should the nurse plan to do postoperatively?
- A. Get the patient up to the chair on the first postoperative day.
- B. Position the patient only on the back and the unoperative side.
- C. Keep the leg abductor pillow on the patient even when bathing.
- D. Ambulate the patient with partial weight bearing by discharge.
Correct Answer: C
Rationale: Using an abductor pillow maintains proper alignment.
The nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary?
- A. I will avoid exercise because the pain gets worse.
- B. I will use heat or ice to help control the pain.
- C. I will not wear high-heeled shoes at home or work.
- D. I will purchase a firm mattress to replace my old one.
Correct Answer: A
Rationale: Avoiding exercise can lead to muscle weakness and worsening of back pain; exercise is often recommended as part of the treatment plan.
A patient has a lesion involving the fasciculus gracilis and fasciculus cuneatus of the spinal cord. What should the nurse expect the patient to experience the loss of?
- A. Pain and temperature sensations
- B. Touch, deep pressure, vibration, and position sense
- C. Subconscious information about body position and muscle tension
- D. Voluntary muscle control from the cerebral cortex to the peripheral nerves
Correct Answer: B
Rationale: Fasciculus gracilis and cuneatus are responsible for transmitting touch, deep pressure, vibration, and position sense.