Nokea
Which of the following measures should be taken by the nurse to help relieve edema in a client with tissue injury?
- A. Massaging the swollen body part
- B. Taking a prescribed analgesic
- C. Applying a cold pack to the swollen body part
- D. Keeping the swollen body part above the level of the heart
Correct Answer: D
Rationale: Elevating the affected area helps reduce edema by improving venous return.
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Which of the following will not worsen PD symptoms?
- A. Haloperidol
- B. Metoclopramide
- C. Prochlorperazine
- D. Rasagiline
Correct Answer: D
Rationale: Rasagiline is a MAO-B inhibitor used to treat PD and does not worsen symptoms, unlike dopamine antagonists like haloperidol and metoclopramide.
Which of the following diets will provide the greatest symptomatic relief for Mr. Sands?
- A. Clear liquid diet
- B. Soft diet with frequent meals
- C. Regular diet
- D. High-residue diet
Correct Answer: B
Rationale: A soft diet with frequent meals reduces strain on the esophagus and stomach.
During the acute phase of dermatomyositis, what is an appropriate patient outcome?
- A. Relates improvement in pain
- B. Does not experience aspiration
- C. Performs active ROM four times daily
- D. Maintains absolute rest of affected joints
Correct Answer: B
Rationale: Preventing aspiration is critical in dermatomyositis.
In the acute phase following a cerebrovascular accident, patients have a tendency to develop pressure lesions for all of the following reasons EXCEPT
- A. high degree of muscle spasticity
- B. accompanying sensory loss
- C. interference with altered autonomic reflexes
- D. diminished muscle use
Correct Answer: A
Rationale: Spasticity does not typically contribute to pressure ulcers.
Which of the following is not a branch of the trigeminal nerve?
- A. Supraorbital nerve
- B. Great auricular nerve
- C. Mental nerve
- D. Lacrimal nerve
Correct Answer: B
Rationale: The great auricular nerve is a branch of the cervical plexus (C2-C3), not the trigeminal nerve. It supplies sensation to the skin over the parotid gland and ear.