Nokea
You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to the LPN/LVN?
- A. Complete admission assessment.
- B. Set up oxygen and suction equipment.
- C. Place a padded tongue blade at bedside.
- D. Pad the side rails before patient arrives.
Correct Answer: D
Rationale: Padding the side rails is a safety measure that can be done by an LPN/LVN without requiring complex assessment skills.
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Which finding may suggest a problem with the patient's proprioception?
- A. Difficulty standing with eyes closed or swaying when standing still.
- B. Steady gait and normal balance.
- C. Clear, intact sensation in all extremities.
- D. Normal muscle strength and coordination.
Correct Answer: A
Rationale: Proprioception issues are indicated by difficulty standing with eyes closed or swaying. Steady gait, intact sensation, and normal strength are normal findings.
In the initial nursing assessment of Mr. Singer it is important to remember that malignant rheumatoid arthritis
- A. is limited to the synovial joints
- B. may also involve the heart, lungs, and other body systems
- C. is primarily an episodic disease
- D. affects primarily the proximal joints
Correct Answer: B
Rationale: Malignant rheumatoid arthritis can affect multiple organ systems beyond the joints.
Nurse Anderson is preparing to conduct an initial assessment of Mrs. Green, a 63-year-old woman admitted with Parkinson's Disease. She collaborates with the dietician to tailor Mrs. Green's diet, especially considering her medication, levodopa. Nurse Anderson discusses with the dietician about which type of food should be limited or avoided for a patient taking levodopa. What type of food should they focus on?
- A. Food rich in Vitamin B6.
- B. Food rich in Thiamine.
- C. Food rich in Vitamin E.
- D. Food rich in Vitamin C.
Correct Answer: A
Rationale: Vitamin B6 can interfere with the effectiveness of levodopa, so it should be limited in the diet of PD patients.
Laboratory findings that the nurse would expect to be present in the patient with RA include
- A. polycythemia.
- B. increased immunoglobulin G (IgG).
- C. decreased white blood cell (WBC) count.
- D. anti-citrullinated protein antibody (ACPA).
Correct Answer: D
Rationale: ACPA is specific to RA.
The nurse notes that a patient is not able to voluntarily move the right arm. Which part of the brain should the nurse suspect is affected in this patient?
- A. Cerebellum
- B. Frontal lobe
- C. Parietal lobe
- D. Hypothalamus
Correct Answer: B
Rationale: The frontal lobes contain the motor areas that generate the impulses that bring about voluntary movement. Each motor area controls movement on the opposite side of the body. The cerebellum is responsible for coordination and balance, while the parietal lobe processes sensory information. The hypothalamus regulates autonomic functions and is not directly involved in voluntary movement.