A patient with a suspected spinal cord tumor is undergoing diagnostic testing for loss of motor function and sensation possibly related to compression of the spinal cord
In preparation for diagnostic studies, the nurse will inform the patient that the most commonly used study to diagnose spinal cord compression from a tumor is a(n):
A) X-ray
B) Ultrasound
C) CT scan
D) MRI scan
Ans: D
Feedback: The MRI scan is the most commonly used, most sensitive diagnostic tool that is particularly helpful in detecting epidural spinal cord compression and vertebral bone metastases.
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As the nurse is coming on duty to take over the day shift, the night nurse tells the nurse that she has already counted the controlled drugs for the day shift. What should the nurse do in this situation?
a. Do nothing; this is standard procedure. b. Accept the keys and recount the drugs. c. Recount the drugs with another nurse. d. Count the drugs at the end of your shift.
What is the most appropriate response for the nurse to make to the parent of a 3-year-old child found in a bed with the side rails down?
a. "You must never leave the child in the room alone with the side rails down.". b. "I am very concerned about your child's safety when you leave the side rails down. The hospital has guidelines stating that side rails need to be up if the child is in the bed.". c. "It is hospital policy that side rails need to be up if the child is in bed.". d. "When parents leave side rails down, they might be considered as uncaring.".
When doing discharge teaching for a 19-year-old patient who has had a repair of a fractured mandible, the nurse will include information about
a. administration of nasogastric tube feedings. b. how and when to cut the immobilizing wires. c. the importance of high-fiber foods in the diet. d. the use of sterile technique for dressing changes.
A patient with a seizure disorder tells the nurse about training to participate in a marathon run. What is the most important factor for the nurse to teach the patient at this time?
a. "Your seizure medications prohibit training for this stressful event." b. "During times of increased physical stress you are more likely to have a seizure." c. "Be sure to watch your diet because during training you will need more calories." d. "Start your exercise program slowly and gradually build up your strength."