Nokea
Which of the following positions would be most comfortable for Mr. Tucker?
- A. Supine with head elevated 20-30° and knees flexed
- B. Prone with head turned to side and feet extending over mattress edge
- C. Flat on back with the bed gatched in the middle
- D. Supine with a hard thick pillow under the lumbar region
Correct Answer: A
Rationale: This position reduces strain on the back muscles.
You may also like to solve these questions
The resting potential indicates that the inside of the neuron is ________ compared to the outside.
- A. under ionic pressure
- B. positive
- C. negative
- D. inactive
Correct Answer: C
Rationale: The resting potential of a neuron, typically around -65mV, indicates that the inside of the neuron is negatively charged compared to the outside. This charge difference is maintained by the sodium-potassium pump and the selective permeability of the cell membrane to ions. The resting potential is essential for the neuron's ability to generate and transmit nerve impulses, as it provides the electrical gradient necessary for action potentials.
When assessing the motor function of a patient, the nurse should:
- A. Observe for muscle strength, coordination, and movement symmetry.
- B. Check the patient's heart rate.
- C. Inspect the patient's joint range of motion.
- D. Measure the patient's blood pressure.
Correct Answer: A
Rationale: Motor function assessment involves evaluating muscle strength, coordination, and symmetry. Heart rate, joint range of motion, and blood pressure are not directly related to motor function.
When the patient has a rapidly growing brain tumor, what slows expansion of cerebral brain tissue into the adjacent hemisphere?
- A. Ventricles
- B. Falx cerebri
- C. Arachnoid layer
- D. Tentorium cerebella
Correct Answer: B
Rationale: The falx cerebri limits the expansion of brain tissue into adjacent hemispheres.
What is going to happen to a patient with multiple sclerosis (MS)?
- A. You will have either periods of attacks and remissions or progression of nerve damage over time.
- B. You need to plan for a continuous loss of movement
- C. sensory functions
- D. and mental capabilities.
Correct Answer: A
Rationale: MS can follow relapsing-remitting or progressive courses
A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will:
- A. assume roles and functions of the other family members.
- B. demonstrate a resumption of former roles and tasks.
- C. focus energy on problems occurring in the family.
- D. rely on family members to meet his or her personal needs.
Correct Answer: B
Rationale: The correct answer is B: demonstrate a resumption of former roles and tasks. This outcome implies that the patient will regain the ability to fulfill their own roles and tasks within the family, indicating improvement in the interrupted family processes. This aligns with the goal of promoting the patient's independence and reducing the burden on other family members.
Choice A is incorrect because having the patient assume roles and functions of other family members does not address the underlying issue of the patient's somatic symptom disorder and may lead to further dysfunction within the family.
Choice C is incorrect as it suggests the patient should focus on problems in the family, which may not directly address the interrupted family processes related to the patient's symptoms.
Choice D is incorrect as it promotes dependency on family members to meet the patient's personal needs, which does not encourage the patient to regain their former roles and tasks within the family.