Nokea
Which observation of the patient made by the nurse is most indicative of Parkinson's disease?
- A. Large
- B. embellished handwriting
- C. Weakness of one leg resulting in a limping walk
- D. Difficulty rising from a chair and beginning to walk
Correct Answer: C
Rationale: Difficulty initiating movement is characteristic of Parkinson's disease
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The Peripheral Nervous System is made up of the:
- A. brain and spinal cord.
- B. spinal cord and spinal nerves.
- C. spinal nerves and brain.
- D. All of the above.
Correct Answer: B
Rationale: The peripheral nervous system (PNS) includes all the nerves outside the central nervous system, such as spinal nerves and cranial nerves. It connects the CNS to the limbs, organs, and skin, allowing for the transmission of sensory and motor signals. The PNS is divided into the somatic nervous system, which controls voluntary movements, and the autonomic nervous system, which regulates involuntary functions like heart rate and digestion.
Which type of bone cell is responsible for the formation of bone?
- A. Osteocyte
- B. Osteoclast
- C. Osteoblast
- D. Sarcomere
Correct Answer: C
Rationale: Osteoblasts form new bone tissue.
Priority Decision: Following change-of-shift handoff, which patient should the nurse assess first?
- A. A 58-year-old male experiencing phantom pain and requesting analgesic
- B. A 72-year-old male being transferred to a skilled nursing unit following repair of a hip fracture
- C. A 25-year-old female in left leg skeletal traction asking for the weights to be lifted for a few minutes
- D. A 68-year-old male with a new lower leg cast complaining that the cast is too tight and he cannot feel his toes
Correct Answer: D
Rationale: Cast tightness and loss of sensation indicate potential neurovascular compromise.
A client has had multiple sclerosis (MS) for 15 years and has received various drug therapies. What is the primary reason why the nurse has found it difficult to evaluate the effectiveness of the drugs that the client has used?
- A. The client exhibits intolerance to many drugs
- B. The client experiences spontaneous remissions from time to time
- C. The client requires multiple drugs simultaneously
- D. The client endures long periods of exacerbation before the illness responds to a particular drug
Correct Answer: B
Rationale: MS is characterized by periods of relapse and remission, making it difficult to evaluate the effectiveness of drug therapies due to spontaneous improvements.
One focus of collaborative care of patients with AD is
- A. Replacement of deficient acetylcholine in the brain
- B. Drug therapy for cognitive problems and undesirable behaviors
- C. The use of memory-enhancing techniques to delay disease progression
- D. Prevention of other chronic diseases that hasten the progression of AD
Correct Answer: B
Rationale: Drug therapy addresses cognitive and behavioral issues in AD