Which food should the person who experiences migraine headaches avoid?
- A. Yogurt
- B. Caffeine
- C. Beef
- D. Pears
- E. Marinated foods
- F. Milk
Correct Answer: A,B,E
Rationale: Some foods may cause or worsen headaches. Foods that may provoke headaches include vinegar, chocolate, yogurt, alcohol, fermented or marinated foods, ripened cheese, cured sandwich meat, caffeine, and pork.
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Which issue is the basic problem that prompts most of the early signs of Alzheimer's disease (AD)?
- A. Changes in mood
- B. Misplacing things
- C. Memory loss that disrupts daily life
- D. Problems with words in speaking
Correct Answer: C
Rationale: Memory loss that disrupts daily life is the basic problem that prompts most of the early signs of AD.
Which factor is the nurse aware of when assessing a person with a craniocerebral injury?
- A. Most injuries of this type are irreversible.
- B. Open injuries are always more serious than closed injuries.
- C. Signs and symptoms may not occur until several days after the trauma.
- D. Trauma to the frontal lobe is more significant than to any other area.
Correct Answer: C
Rationale: If a patient who has been conscious for several days after head injury loses consciousness or develops neurologic signs and symptoms, a subdural hematoma should be suspected.
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.
Which effect is a factor of normal aging on the nervous system?
- A. Small vessel occlusion
- B. Loss of neurons
- C. Calcification of cerebrum
- D. Reduction of cerebral blood flow
- E. Lipofuscin
- F. Decrease in oxygen use
Correct Answer: B,D,E,F
Rationale: As the person ages, normal age-related changes occur such as loss of neurons, reduction of cerebral blood flow, appearance of lipofuscin, a decrease in oxygen use and brain metabolism, and a decline in velocity of nerve impulses.
Which action will the nurse take when caring for a child recently diagnosed with bacterial meningitis?
- A. Arrange for humidified oxygen per mask.
- B. Place the child in respiratory isolation.
- C. Inquire about drug allergy.
- D. Hold NPO until orders arrive.
Correct Answer: B
Rationale: Persons with bacterial meningitis are placed in respiratory isolation until the pathogen can no longer be cultured, usually 24 hours.
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