Nokea
Which of the following receptors does not span the cell membrane 7 times
- A. beta-Adrenergic receptor
- B. Rhodopsin
- C. 5-HTic receptor
- D. Mineralocorticoid receptor
Correct Answer: D
Rationale: The mineralocorticoid receptor is an intracellular receptor that does not span the cell membrane. It belongs to the steroid hormone receptor family and acts as a transcription factor after binding to its ligand. In contrast, beta-adrenergic receptors, rhodopsin, 5-HTic receptors, and LH receptors are G-protein-coupled receptors (GPCRs) that span the membrane seven times.
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Apraxia involves an inability to undertake learned and purposeful activities such as dressing, cooking etc., and means that sufferers must rely increasingly on caregivers to help with these activities. Limb apraxia is a common symptom of left hemisphere damage and consists of a deficit in performing gestures to verbal command or imitation. One form of rehabilitation training for limb apraxia is:
- A. Gestural training.
- B. Mime training.
- C. Motor training.
- D. Replication training.
Correct Answer: A
Rationale: Gestural training is a rehabilitation technique used to improve limb apraxia, a condition characterized by difficulty in performing purposeful movements. This training involves teaching individuals to recognize and execute appropriate gestures and postures, enhancing their ability to perform daily activities. By focusing on the coordination of movements and the context in which they are used, gestural training helps individuals regain functional independence and reduce reliance on caregivers.
You are caring for a patient with a recurrent glioblastoma who is receiving dexamethasone (Decadron) 4 mg IV every 6 hours to relieve symptoms of right arm weakness and headache. Which assessment information concerns you the most?
- A. The patient does not recognize family members.
- B. The blood glucose level is 234 mg/dL.
- C. The patient complains of a continued headache.
- D. The daily weight has increased 1 kg.
Correct Answer: A
Rationale: Changes in recognition could indicate neurological deterioration requiring immediate attention.
Which finding should the nursing assistant report immediately for a patient with a fractured femur?
- A. The patient complains of pain.
- B. The patient appears confused.
- C. The patient's blood pressure is 136/88.
- D. The patient voided using the bedpan.
Correct Answer: B
Rationale: Confusion could indicate a more serious underlying issue, such as reduced cerebral perfusion.
The use of segments as a developmental strategy in vertebrates is evident in:
- A. the endoderm
- B. the axial skeleton, only
- C. the hindbrain, only
- D. both the axial skeleton and the hindbrain
Correct Answer: D
Rationale: Segmentation is a key developmental strategy in vertebrates, evident in structures like the axial skeleton (vertebrae) and the hindbrain (rhombomeres). This segmentation allows for the organized development of complex body plans and functional specialization along the antero-posterior axis.
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.