Nokea
Which benefit do the drugs neostigmine and pyridostigmine have for the person with myasthenia gravis?
- A. Improves speech.
- B. Improves visual disturbances.
- C. Reduces pain.
- D. Promotes nerve impulse transmission.
Correct Answer: D
Rationale: Prostigmine and Mestinon improve the nerve impulses and alleviate the symptoms.
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In which way will the nurse instruct a patient with Parkinson disease to improve activity level?
- A. To use a soft mattress to relax the spine.
- B. To walk with a shuffling gait to avoid tripping.
- C. To walk with hands folded behind back to help balance.
- D. To sit in hard chair with arms for posture control.
Correct Answer: C
Rationale: The patient with Parkinson disease can improve the activity level holding the hands folded behind to keep better balance and keep the arms from hanging stiffly at the side. The patient should be sleeping on a firm mattress without a pillow to prevent spinal curvature, Walk with a lifting of the feet to avoid tripping and 'freezing.'
A patient has recently experienced a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. Which nursing interventions would be most helpful in assisting this patient to swallow safely?
- A. Use a straw.
- B. Tuck chin when swallowing.
- C. Take a sip of liquid with each bite.
- D. Turn head to the left.
Correct Answer: B
Rationale: The patient should sit at a 90-degree angle with the head up and chin slightly tucked.
The nurse explains to a patient and family that the triad of signs of Parkinson disease is: ___, rigidity, and bradykinesia.
Correct Answer: tremor
Rationale: Tremor, rigidity, and bradykinesia are the triad that make up the signs of Parkinson disease.
Which activity is the reticular activating system (RAS) essential to?
- A. Concentration
- B. Wakefulness
- C. Speech
- D. Attention
- E. Memory
- F. Introspection
Correct Answer: A,B,D,F
Rationale: The RAS, located on the brainstem, is essential to wakefulness, attention, concentration, and introspection.
Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?
- A. Do you have any sensations of pins and needles in your feet?'
- B. Does the pain radiate from your back into your legs?'
- C. Can you describe the sensations you are having?'
- D. Do you ever have any nausea or dizziness?'
Correct Answer: C
Rationale: For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be significant. Offering leading questions is not beneficial and may allow the patient to give misinformation. Questions should be specific about symptoms.