Nokea
Which of the following drugs is used to decrease intracranial pressure following intracranial surgery?
- A. Benadryl
- B. Mannitol
- C. Prednisone
- D. Corticosteroids
Correct Answer: B
Rationale: Mannitol is an osmotic diuretic that reduces intracranial pressure.
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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.
What is a nursing intervention that is appropriate for the patient with a nursing diagnosis of anxiety related to lack of knowledge of the etiology and treatment of headache?
- A. Help the patient to examine lifestyle patterns and precipitating factors.
- B. Administer medications as ordered to relieve pain and promote relaxation.
- C. Provide a quiet
- D. dimly lit environment to reduce stimuli that increase muscle tension and anxiety.
Correct Answer: C
Rationale: Reducing stimuli in the environment helps alleviate anxiety and muscle tension
Which of the following animals is NOT a typical reservoir for the spread of rabies?
- A. dog
- B. bat
- C. skunk
- D. chicken
Correct Answer: D
Rationale: The correct answer is D: chicken. Chickens are not typical reservoirs for rabies as they are not known to carry the rabies virus. Dogs, bats, and skunks can serve as reservoirs for rabies due to their susceptibility to the virus. Dogs are a common source of rabies transmission to humans, while bats and skunks are known carriers of the virus. Therefore, the correct answer is D as chickens do not play a role in the spread of rabies.
You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.6°F orally. Which collaborative intervention must be accomplished first?
- A. Administer codeine 15 mg orally for the patient's headache.
- B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.
- C. Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.
- D. Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.
Correct Answer: B
Rationale: Treating the underlying infection is the priority in bacterial meningitis.
The clinical diagnosis of parkinsonism is based on the presence of bradykinesia and at least one of three other features: muscular rigidity, resting tremor, and:
- A. Dystonia
- B. Nystagmus
- C. Postural instability
- D. Seizures
Correct Answer: C
Rationale: Postural instability is a key feature of parkinsonism, along with bradykinesia, rigidity, and resting tremor. It contributes to the risk of falls and mobility issues.