Nokea
Which statement by a patient with osteoporosis indicates the need for additional teaching?
- A. I take my ibuprofen every morning as soon as I get up.
- B. My daughter removed all of the throw rugs in my home.
- C. My husband helps me every afternoon with range-of-motion exercises.
- D. I rest in my recliner chair every day for at least an hour.
Correct Answer: A
Rationale: Regular intake of ibuprofen without guidance might interfere with bone health and should be discussed with healthcare providers.
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The LPN/LVN, under your supervision, is providing nursing care for a patient with GBS. What observation would you instruct the LPN/LVN to report immediately?
- A. Complaints of numbness and tingling
- B. Facial weakness and difficulty speaking
- C. Rapid heart rate of 102 beats per minute
- D. Shallow respirations and decreased breath sounds
Correct Answer: D
Rationale: Respiratory compromise is a critical concern in GBS and requires immediate attention.
When is a fat embolism most likely to occur?
- A. 24 to 48 hours following a fractured tibia
- B. 36 to 72 hours following a skull fracture
- C. 4 to 5 days following a fractured femur
- D. 5 to 6 days following a pelvic fracture
Correct Answer: A
Rationale: Fat embolism is most common after tibial fractures within 24-48 hours.
The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the __________ lobe.
- A. Frontal
- B. Parietal
- C. Occipital
- D. Temporal
Correct Answer: A
Rationale: The correct answer is A: Frontal lobe. The frontal lobe is responsible for personality, emotional expression, decision-making, reasoning, and problem-solving. Changes in personality, emotional instability, and difficulty with understanding can indicate dysfunction in the frontal lobe. The other lobes (parietal, occipital, temporal) are primarily involved in different functions such as sensory processing (parietal), visual processing (occipital), and memory, language, and auditory processing (temporal). In this case, the symptoms described by the wife suggest a problem with the frontal lobe, making it the correct choice.
There are ________ layers of meninges around the brain and spinal cord.
- A. one
- B. two
- C. three
- D. four
Correct Answer: C
Rationale: The brain and spinal cord are protected by three layers of meninges: the dura mater, arachnoid mater, and pia mater. These layers provide structural support, cushioning, and protection against physical injury. The dura mater is the outermost layer, the arachnoid mater is the middle layer, and the pia mater is the innermost layer. Therefore, three is the correct answer as it accurately describes the number of meningeal layers.
A 40-year-old client presents with a complaint of morning stiffness in her hands, and painful joints of about 3 months duration. On physical examination, you note deviation of the fingers of both hands toward the ulnar side, and swelling and thickening of the proximal interphalangeal joints. You refer the client to a physician for diagnosis and treatment of what you expect to be
- A. osteoarthritis
- B. degenerative joint disease
- C. rheumatoid arthritis
- D. gouty arthritis
Correct Answer: C
Rationale: Symptoms such as morning stiffness, joint swelling, and ulnar deviation are characteristic of rheumatoid arthritis.