Nokea
Why did the patient's wife's husband not receive clot-busting medication (tPA)?
- A. He didn't arrive within the timeframe for that therapy.
- B. Not everyone is eligible for this drug. Has he had surgery lately?
- C. You should discuss the treatment of your husband with his doctor.
- D. The medication you are talking about dissolves clots and could cause more bleeding in your husband's brain.
Correct Answer: D
Rationale: tPA is contraindicated in hemorrhagic strokes because it can worsen bleeding
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How do spinal nerves of the peripheral nervous system (PNS) differ from cranial nerves (CNs)?
- A. Only spinal nerves occur in pairs.
- B. CNs affect only the sensory and motor functions of the head and neck.
- C. Cell bodies of all CNs are located in the brain whereas cell bodies of spinal nerves are located in the spinal cord.
- D. All spinal nerves contain both afferent sensory and efferent motor fibers whereas CNs contain one or the other or both.
Correct Answer: D
Rationale: Spinal nerves always contain both sensory and motor fibers, while cranial nerves can vary.
Mr. Sands continues to be quiet and withdrawn several days after admission. Besides Raynaud phenomenon, he has generalized telangiectasis. He seldom initiates conversation, and although up ad lib, he rarely leaves his room. Which one of the following goals would be most important to develop in his nursing care plan?
- A. Provide for solitude and rest
- B. Protect from temperature extremes
- C. Enhance self-concept
- D. Move to a four-bed ward
Correct Answer: C
Rationale: Enhancing self-concept can improve social interaction and emotional well-being.
Like other systems in the body, the nervous system is composed of organs, principally the brain, spinal cord, nerves, and _______.
- A. ganglia
- B. axon
- C. neurons
- D. dura mater
Correct Answer: A
Rationale: The nervous system is composed of several key organs, including the brain, spinal cord, nerves, and ganglia. Ganglia are clusters of nerve cell bodies located outside the central nervous system and play a role in processing and transmitting nerve signals. Axons and neurons are components of nerves, while the dura mater is a protective membrane surrounding the brain and spinal cord. Ganglia are the correct answer as they are distinct organs within the nervous system.
You have been caring for a patient with osteomyelitis. In preparing the patient for discharge, you include teaching about
- A. The importance of completing the multiple-week treatment with antibiotics.
- B. The side effects and interactions of the medications.
- C. Symptoms that necessitate a call to the physician, nurse practitioner, or physician assistant.
- D. All of the above.
Correct Answer: D
Rationale: All aspects mentioned are crucial for effective post-discharge care and prevention of complications.
One criterion identified by the American College of Rheumatology for a diagnosis of fibromyalgia is
- A. Fiber atrophy found on muscle biopsy
- B. Elimination of all other causes of musculoskeletal pain
- C. The presence of the manifestations of chronic fatigue syndrome
- D. The elicitation of pain on palpation of at least 11 of 18 identified tender points
Correct Answer: D
Rationale: Tender points are diagnostic for fibromyalgia.