Nokea
Which technique is necessary for safely feeding a patient with hemiplegia?
- A. Mixing liquids and solid foods together
- B. Taking the patient's dentures out to prevent choking
- C. Checking the affected side of mouth for food accumulation
- D. Offering small bites of food
- E. Elevating the patient to no more than 30 degrees
- F. Adding a thickening agent to liquids
Correct Answer: C,D,F
Rationale: Important nursing measures include avoiding foods that cause choking, checking the affected side of the mouth for accumulation of food and resultant poor hygiene, not mixing liquids and solid foods, and encouraging the patient to take small bites.
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Which issue is the basic problem that prompts most of the early signs of Alzheimer's disease (AD)?
- A. Changes in mood
- B. Misplacing things
- C. Memory loss that disrupts daily life
- D. Problems with words in speaking
Correct Answer: C
Rationale: Memory loss that disrupts daily life is the basic problem that prompts most of the early signs of AD.
A frantic family member is distressed about the flaccid paralysis of a relative following a spinal cord injury several hours ago. Which fact does the nurse know about this condition?
- A. It is an ominous indicator of permanent paralysis.
- B. It is possibly a temporary condition and will clear.
- C. It degenerates into a spastic paralysis.
- D. It will progress up the cord to cause seizures.
Correct Answer: B
Rationale: A period of flaccid paralysis following a cord injury is called areflexia, or spinal shock, and may be temporary.
Which benefit do the drugs neostigmine and pyridostigmine have for the person with myasthenia gravis?
- A. Improves speech.
- B. Improves visual disturbances.
- C. Reduces pain.
- D. Promotes nerve impulse transmission.
Correct Answer: D
Rationale: Prostigmine and Mestinon improve the nerve impulses and alleviate the symptoms.
Which aspect is the nurse assessing when asking the patient, 'Who is the president of the United States?' during a level of consciousness data collection?
- A. Orientation
- B. Memory
- C. Calculation
- D. Knowledge
Correct Answer: D
Rationale: Knowledge is tested by questions such as 'Who is the president?' or asking about current events.
Which action will the nurse take when caring for a child recently diagnosed with bacterial meningitis?
- A. Arrange for humidified oxygen per mask.
- B. Place the child in respiratory isolation.
- C. Inquire about drug allergy.
- D. Hold NPO until orders arrive.
Correct Answer: B
Rationale: Persons with bacterial meningitis are placed in respiratory isolation until the pathogen can no longer be cultured, usually 24 hours.