Nokea
Which kind of hip fracture is usually repaired with a hip prosthesis?
- A. Intracapsular
- B. Extracapsular
- C. Subtrochanteric
- D. Intertrochanteric
Correct Answer: A
Rationale: Intracapsular fractures often require prosthetic repair.
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The nurse is caring for a client with ICP. Why will the nurse position the client in bed with HOB elevated to 30 degrees?
- A. Makes it easier for the client to breathe
- B. Prevents the Valsalva maneuver
- C. Promotes venous drainage
- D. Reduces pain
Correct Answer: C
Rationale: Elevating the head of the bed to 30 degrees promotes venous drainage from the brain, reducing intracranial pressure (ICP). This position helps improve cerebral perfusion and prevents complications associated with increased ICP, such as brain herniation.
A 25 year-old housewife presents to the urgent care clinic for evaluation of paralysis in her face on the right side. She has a history of an upper respiratory infection 2 weeks before the onset of symptoms. She states that her face on the right is drooping and she is not able to close the right eye. On physical examination, you note that her forehead is smooth on the right, the left palpebral fissure appears wider than the right, and her nasolabial fold on the right is flattened and she is drooling. Based on this information, what is the most likely diagnosis?
- A. Cortical stroke
- B. Bell's palsy
- C. Horner's syndrome
- D. Stress reaction
Correct Answer: B
Rationale: Bell's palsy is a condition characterized by sudden, unilateral facial paralysis due to inflammation or compression of the facial nerve (CN VII). It often follows a viral infection and presents with drooping of the face, inability to close the eye, and flattening of the nasolabial fold. A cortical stroke typically spares the forehead, and Horner's syndrome involves ptosis and miosis.
Nurse Anderson is preparing to conduct an initial assessment of Mrs. Green, a 63-year-old woman admitted with Parkinson's Disease. She collaborates with the dietician to tailor Mrs. Green's diet, especially considering her medication, levodopa. Nurse Anderson discusses with the dietician about which type of food should be limited or avoided for a patient taking levodopa. What type of food should they focus on?
- A. Food rich in Vitamin B6.
- B. Food rich in Thiamine.
- C. Food rich in Vitamin E.
- D. Food rich in Vitamin C.
Correct Answer: A
Rationale: Vitamin B6 can interfere with the effectiveness of levodopa, so it should be limited in the diet of PD patients.
Which finding may suggest a problem with the patient's proprioception?
- A. Difficulty standing with eyes closed or swaying when standing still.
- B. Steady gait and normal balance.
- C. Clear, intact sensation in all extremities.
- D. Normal muscle strength and coordination.
Correct Answer: A
Rationale: Proprioception issues are indicated by difficulty standing with eyes closed or swaying. Steady gait, intact sensation, and normal strength are normal findings.
The nurse writes the client problem of 'altered sexual functioning' for a male client diagnosed with multiple sclerosis (MS). Which intervention should be implemented?
- A. Encourage the couple to explore alternative ways of maintaining intimacy.
- B. Make an appointment with a psychotherapist to counsel the couple.
- C. Explain daily exercise will help increase libido and sexual arousal.
- D. Discuss the importance of keeping physically calm during sexual intercourse.
Correct Answer: A
Rationale: Exploring alternative ways to maintain intimacy can help the client and their partner adapt to changes in sexual functioning caused by MS.