A patient has damage to the cerebellum. Which disorder is most important for the nurse to assess?
a. Imbalance
b. Hemiplegia
c. Muscle sprain
d. Lower extremity paralysis
ANS: A
Damage to the cerebellum causes problems with balance, and motor impairment is directly related to the amount of destruction of the motor strip. A stroke can lead to hemiplegia. Direct trauma to the musculoskeletal system results in bruises, contusions, sprains, and fractures. A complete transection of the spinal cord can lead to lower extremity paralysis.
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A) Loop diuretic and antiplatelet aggregator B) Loop diuretic and calcium channel blocker C) Combination of hydralazine and isosorbide dinitrate D) Combination of digoxin and normal saline
The hospital has outsourced housekeeping services to an independent contractor. A patient, who was injured in a fall on wet flooring, brings suit against the company. Does the hospital also hold liability?
1. No, secondary to the doctrine of respondeat superior. 2. Maybe, secondary to the doctrine of dual servant. 3. Yes, secondary to the doctrine of borrowed servant. 4. Perhaps, secondary to the doctrine of ostensible authority.
The nurse assesses a friction rub in a patient who is 2 days post–myocardial infarction (MI). The nurse recognizes this finding as an indicator of:
a. a recurrent MI. b. pleural effusion. c. pericarditis. d. angina.
Which of the following interventions appropriate for a client with Parkinson's disease who is working to improve fine motor skills would be considered a collaborative intervention?
1. Provide assistance as needed with dressing and grooming. 2. Provide assistive devices and educate client to use grab bar and large handled utensils. 3. Make sure lighting and space are adequate for client. 4. Administer medications to improve muscle tone.