During assessment of the patient with scleroderma,

Question 1 of 5

During assessment of the patient with scleroderma, what should the nurse expect to find?

A. Thickening of the skin of the fingers and hands B. Cool, cyanotic fingers with thinning skin over the joints C. Swan neck deformity or ulnar drift deformity of the hands D. Low back pain, stiffness, and limitation of spine movement

Correct Answer: A

Rationale: Skin thickening is characteristic of scleroderma.

Question 2 of 5

While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure?

A. Place the patient on a non-rebreather mask with the oxygen at 15 L/minute. B. Administer lorazepam (Ativan) 1 mg IV. C. Turn the patient to the side and protect airway. D. Assess level of consciousness during and immediately after the seizure.

Correct Answer: C

Rationale: Protecting the airway is the immediate priority during a seizure.

Question 3 of 5

A patient with osteomyelitis has a nursing diagnosis of risk for injury. What is an appropriate nursing intervention for this patient?

A. Use careful and appropriate disposal of soiled dressings. B. Gently handle the involved extremity during movement. C. Measure the circumference of the affected extremity daily. D. Provide range-of-motion (ROM) exercise q4hr to the involved extremity.

Correct Answer: B

Rationale: Gentle handling minimizes further injury.

Question 4 of 5

To assess for neurologic status in a patient with a fractured humerus, what should the nurse ask the patient to do?

A. Evert, invert, dorsiflex, and plantar flex the foot. B. Abduct, adduct, and oppose the fingers and pronate and supinate the hand. C. Assess the location, quality, and intensity of pain below the site of the injury. D. Assess the color, temperature, capillary refill, peripheral pulses, and presence of edema in the extremity.

Correct Answer: B

Rationale: These movements test the function of nerves affected by humerus fractures.

Question 5 of 5

How do generalized seizures differ from focal seizures?

A. Focal seizures are confined to one side of the brain and remain focal in nature. B. Generalized seizures result in loss of consciousness whereas focal seizures do not. C. Generalized seizures result in temporary residual deficits during the postictal phase. D. Generalized seizures have bilateral synchronous epileptic discharges affecting the whole brain at onset of the seizure.

Correct Answer: D

Rationale: Generalized seizures involve both sides of the brain simultaneously

During assessment of the patient with scleroderma, what should the nurse expect to find?

Nurselytic

ATI RN

ATI RN

Questions to Ask About the Neurological System Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Access More Questions!

ATI RN Basic

ATI RN Premium

Similar Questions