Nokea
Which finding should the nursing assistant report immediately for a patient with a fractured femur?
- A. The patient complains of pain.
- B. The patient appears confused.
- C. The patient's blood pressure is 136/88.
- D. The patient voided using the bedpan.
Correct Answer: B
Rationale: Confusion could indicate a more serious underlying issue, such as reduced cerebral perfusion.
You may also like to solve these questions
A nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which of the following would be included in the plan of care?
- A. No precautions are required as long as antibiotics have been started
- B. Maintain enteric precautions
- C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics
- D. Maintain neutropenic precautions
Correct Answer: C
Rationale: Respiratory isolation precautions are necessary for at least 24 hours after starting antibiotics to prevent the spread of bacterial meningitis, which is transmitted through respiratory droplets. This precaution protects healthcare workers and other patients from exposure to the infectious agent.
Which syndrome of incomplete spinal cord lesion is described as cord damage common in the cervical region resulting in greater weakness in upper extremities than lower?
- A. Central cord syndrome
- B. Anterior cord syndrome
- C. Posterior cord syndrome
- D. Cauda equina and conus medullaris syndromes
Correct Answer: A
Rationale: Central cord syndrome often results in greater weakness in the upper extremities.
A 24-year-old patient with a 12-year history of Becker muscular dystrophy is hospitalized with heart failure. What is an appropriate nursing intervention for this patient?
- A. Feed and bathe the patient to avoid exhausting the muscle.
- B. Reposition frequently to avoid skin and respiratory complications.
- C. Provide hand weights for the patient to exercise the upper extremities.
- D. Use orthopedic braces to promote ambulation and prevent muscle wasting.
Correct Answer: B
Rationale: Frequent repositioning prevents complications.
Which of the following would indicate side effects of the gold therapy?
- A. Symptoms of gastric irritation
- B. Generalized edema
- C. Elevated blood pressure
- D. Symptoms of visual disturbance
Correct Answer: A
Rationale: Gastric irritation is a common side effect of gold therapy.
Regarding the blood supply of the cerebral cortex
- A. Middle cerebral is contralateral arm, leg and speech areas
- B. Anterior cerebral is contralateral leg, micturition and defaecation
- C. Middle cerebral is ipsilateral arm, face and vision
- D. Posterior cerebral is ipsilateral vision
Correct Answer: B
Rationale: The anterior cerebral artery supplies the medial surface of the brain, including areas responsible for motor and sensory functions of the contralateral leg. It also influences micturition and defecation.