Which other extraarticular manifestation of RA is most likely to be seen in the patient with rheumatoid nodules?
- A. Lyme disease
- B. Felty syndrome
- C. Sjögren's
- D. Spondyloarthropathies
Correct Answer: B
Rationale: Felty syndrome involves splenomegaly and neutropenia.
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Two days following a spinal cord injury, a patient asks continually about the extent of impairment that will result from the injury. What is the best response by the nurse?
- A. You will have more normal function when spinal shock resolves and the reflex arc returns.'
- B. The extent of your injury cannot be determined until the secondary injury to the cord is resolved.'
- C. When your condition is more stable, MRI will be done to reveal the extent of the cord damage.'
- D. Because long-term rehabilitation can affect the return of function, it will be years before we can tell what the complete effect will be.'
Correct Answer: B
Rationale: Secondary injury resolution is necessary to assess the full extent of the injury.
During the rehabilitative phase following his cerebrovascular accident Mr. K. is taught measures to relieve or prevent constipation. Which of these statements indicates that Mr. K. needs further health teaching?
- A. I eat whole-wheat bread with my meals.
- B. I eat fruit three times a day.
- C. I don't drink fluids after 4 P.M.
- D. I don't like to take enemas.
Correct Answer: C
Rationale: Restricted fluid intake contributes to constipation.
In the context of brain imaging, what does FMRI stand for?
- A. fast moving recovery imaging
- B. first moveable recording indicator
- C. flexible motion resistance indicator
- D. functional magnetic resonance imaging
Correct Answer: D
Rationale: Functional Magnetic Resonance Imaging (fMRI) is a brain imaging technique that measures brain activity by detecting changes in blood flow. When a brain region is active, it consumes more oxygen, and fMRI captures this increased blood flow. This non-invasive method is widely used in neuroscience to study brain function and map neural activity during various tasks. fMRI has revolutionized our understanding of the brain's organization and function.
The production of incoherent, jumbled speech is known as
- A. Nonfluent aphasia
- B. Disruptive aphasia
- C. Fluent aphasia
- D. Anomic aphasia
Correct Answer: C
Rationale: Fluent aphasia, also known as Wernicke's aphasia, is characterized by the production of speech that is grammatically correct but often nonsensical or incoherent. Individuals with this condition may speak in long, complex sentences that lack meaning or include made-up words. This occurs due to damage in Wernicke's area, a region in the brain responsible for language comprehension and the formation of meaningful speech.
A nursing student is teaching a patient and family about epilepsy prior to the patient's discharge. For which statement should you intervene?
- A. You should avoid consumption of all forms of alcohol.
- B. Wear your medical alert bracelet at all times.
- C. Protect your loved one's airway during a seizure.
- D. It's OK to take over-the-counter medications.
Correct Answer: D
Rationale: Over-the-counter medications can interact with antiepileptic drugs, so this advice is incorrect and requires intervention.