ATI RN
Health Assessment Neurological System NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse determines what about the caregiver?
Correct Answer: B
Rationale: The correct answer is B) The caregiver is manifesting symptoms of caregiver role strain. This is the correct answer because caregiver role strain refers to the physical, emotional, and mental exhaustion experienced by caregivers due to the demands of caregiving. Recognizing caregiver role strain is crucial as it can impact both the caregiver's well-being and their ability to effectively care for the patient. Option A is incorrect because developing signs of Alzheimer's disease (AD) in the caregiver is not indicated in the question and is not a typical assessment finding related to caregiver stress. Option C is incorrect as it simply suggests a need for a break without specifically addressing the caregiver's stress and role strain. Option D is incorrect because while involving other family members in the patient's care may be beneficial, it does not address the caregiver's current state of caregiver role strain. In an educational context, it is important for nurses to be able to recognize and assess caregiver role strain as part of holistic patient care. By identifying caregiver stress, nurses can provide support and resources to help caregivers cope with the challenges of caregiving and maintain their own well-being.
Question 2 of 5
Priority Decision: An immediate prosthetic fitting during surgery is used for a patient with a traumatic below-the-knee amputation. During the immediate postoperative period, what is a priority nursing intervention?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Assess the incision for hemorrhage. This is the priority nursing intervention because postoperative hemorrhage can be a life-threatening complication following amputation surgery. By assessing the incision site for any signs of bleeding, the nurse can quickly identify and address any potential issues, ensuring the patient's safety and well-being. Option A) Monitor the patient's vital signs is important, but in this specific situation, assessing for hemorrhage takes precedence due to its immediate threat to the patient's life. Option C) Elevate the residual limb on pillows is a good measure to reduce swelling and promote circulation, but it is not the most critical intervention in the immediate postoperative period. Option D) Having the patient flex and extend the knee every hour is important for promoting circulation and preventing complications like contractures, but it is not the priority immediately after surgery when assessing for hemorrhage is crucial. In an educational context, understanding the priority of nursing interventions postoperatively is crucial for providing safe and effective care to patients. By prioritizing assessments and interventions based on the patient's condition and potential risks, nurses can ensure optimal outcomes and prevent complications.
Question 3 of 5
During a follow-up visit to a patient with acute osteomyelitis treated with IV antibiotics, the home health nurse is told by the patient's wife that she can hardly get the patient to eat because his mouth is so sore. In assessing the patient's mouth, what should the nurse expect to find?
Correct Answer: B
Rationale: The correct answer is B) White, curdlike membranous lesions of the mucosa. These lesions are characteristic of oral candidiasis, a common fungal infection seen in patients receiving prolonged antibiotic therapy, like the IV antibiotics the patient is on for osteomyelitis. These lesions may cause pain and discomfort in the mouth, leading to decreased appetite. Option A) A dry, cracked tongue with a central furrow is indicative of dehydration and not specifically related to the patient's situation with soreness in the mouth. Option C) Ulcers of the mouth and lips surrounded by a reddened base are more indicative of conditions like herpes simplex virus or aphthous ulcers rather than the fungal infection seen in the patient. Option D) Single or clustered vesicles on the tongue and buccal mucosa are more characteristic of viral infections like herpes simplex or varicella-zoster rather than the fungal infection seen in this case. Educationally, understanding the oral manifestations of common infections in patients on specific treatments is crucial for nurses to provide appropriate care and support. Recognizing these signs aids in timely intervention and symptom management, ultimately improving patient outcomes.
Question 4 of 5
To preserve function and the ability to perform activities of daily living (ADLs), what should the nurse teach the patient with OA?
Correct Answer: B
Rationale: The correct answer is B) Plan and organize task performance to be less stressful to joints. This approach is crucial for managing osteoarthritis (OA) effectively. By planning and organizing tasks, patients can reduce strain on affected joints, preserve function, and maintain independence in performing activities of daily living (ADLs). Option A) Avoid exercise that involves the affected joints is incorrect because regular, low-impact exercise is actually beneficial for OA patients to strengthen muscles around the joints, improve flexibility, and reduce pain. Complete avoidance can lead to muscle weakness and decreased joint mobility. Option C) Maintain normal activities during an acute episode to prevent loss of function is incorrect because during an acute flare-up of OA, it is essential to rest the affected joint to reduce inflammation and prevent further damage. Overusing the joint during an acute episode can exacerbate pain and lead to increased functional impairment. Option D) Use mild analgesics to control symptoms when performing tasks that cause pain is incorrect as it only addresses symptom management temporarily. While pain relief is important, it is equally important to focus on long-term strategies like joint protection techniques, exercise, and proper task planning to maintain function and quality of life in OA patients. In an educational context, teaching patients with OA about effective joint protection strategies, task modification, and exercise programs tailored to their needs are essential components of nursing care. Empowering patients with knowledge and skills to manage their condition can significantly improve their outcomes and quality of life.
Question 5 of 5
The nurse teaches the patient with RA that which exercise is one of the most effective methods of aerobic exercise?
Correct Answer: C
Rationale: The correct answer is C) Aquatic exercises. In patients with Rheumatoid Arthritis (RA), aquatic exercises are one of the most effective methods of aerobic exercise due to the buoyancy of water reducing stress on the joints. This low-impact environment allows for increased range of motion and improved flexibility without causing excessive strain on the joints affected by RA. Option A) Ballet dancing is high-impact and can put significant stress on the joints, potentially worsening RA symptoms. Option B) Casual walking, while generally a good form of exercise, may not provide the same benefits for RA patients as aquatic exercises due to the impact on weight-bearing joints. Option D) Low-impact aerobic exercises are beneficial, but aquatic exercises offer the added advantage of decreased joint stress due to the water's buoyancy. Educationally, it's important for healthcare providers to understand the specific needs of patients with RA when recommending exercise. By selecting aquatic exercises as the most effective method of aerobic exercise for RA patients, it demonstrates a tailored approach to promoting physical activity while considering the limitations imposed by the condition. This rationale reinforces the importance of individualized care in managing RA and promoting overall health and well-being.