Nokea
Which of the following actions should the nurse perform before a client with impaired physical mobility gets up?
- A. Use parallel bars or a walker
- B. Apply an abdominal binder
- C. Use incontinence pads
- D. Use footboard
Correct Answer: B
Rationale: An abdominal binder supports the trunk and aids stability.
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How do spinal nerves of the peripheral nervous system (PNS) differ from cranial nerves (CNs)?
- A. Only spinal nerves occur in pairs.
- B. CNs affect only the sensory and motor functions of the head and neck.
- C. Cell bodies of all CNs are located in the brain whereas cell bodies of spinal nerves are located in the spinal cord.
- D. All spinal nerves contain both afferent sensory and efferent motor fibers whereas CNs contain one or the other or both.
Correct Answer: D
Rationale: Spinal nerves always contain both sensory and motor fibers, while cranial nerves can vary.
Which of the following is a primary function of the glomerulus?
- A. Filtration
- B. Reabsorption
- C. Secretion
- D. Transport
Correct Answer: A
Rationale: Filtration is the correct answer because the glomerulus is a network of capillaries in the kidney that filters blood to form urine. It allows water, ions, and small molecules to pass into the renal tubules while retaining larger molecules like proteins and blood cells. This filtration process is the first step in urine formation and is critical for maintaining homeostasis.
Nurse Cooper is preparing a teaching plan for a client who has started taking levodopa for Parkinson's disease. She plans to educate the client about common side effects associated with this medication. Which side effect should Nurse Cooper include in her teaching plan?
- A. Postural hypotension
- B. Development of a peptic ulcer
- C. Experiencing significant weight loss
- D. Occurrence of pancytopenia
Correct Answer: A
Rationale: Postural hypotension is a common side effect of levodopa, requiring patients to rise slowly from sitting or lying positions to prevent falls.
During the diagnosis and long-term management of a seizure disorder, what should the nurse recognize as one of the major needs of the patient?
- A. Managing the complicated drug regimen of seizure control
- B. Coping with the effects of negative social attitudes toward epilepsy
- C. Adjusting to the very restricted lifestyle required by a diagnosis of epilepsy
- D. Learning to minimize the effect of the condition in order to obtain employment
Correct Answer: B
Rationale: Social stigma can significantly impact patients with epilepsy
Priority Decision: During assessment of a patient with a spinal cord injury, the nurse determines that the patient has a poor cough with diaphragmatic breathing. Based on this finding, what should be the nurse's first action?
- A. Institute frequent turning and repositioning
- B. Use tracheal suctioning to remove secretions
- C. Assess lung sounds and respiratory rate and depth
- D. Prepare the patient for endotracheal intubation and mechanical ventilation
Correct Answer: C
Rationale: Assessment ensures proper diagnosis before intervention.