(1) The Nurse immediate action for patient admitted with Alzheimer/dementia disease will be:
(a) Assess level of orientation
(b) Put the bed alarm on and ask God why.
(c)Put patient in the sitter room and restraint her.
(d)Complain about your assignment.
(2) A 68 years old woman had CVA ,and her left temporal lobe is affected.
She is admitted to the hospital.
What should the nurse expect when performing physical assessment of the patient.
(a) The left hemisphere which controls speech ,math skills and analytical thinking is affected.
(b) Nothing is affected except the inability to move the left leg.
(c)The patient cries all the time but cannot talk.
(d)She is a lovely,pleasant patient.
(3)A 64years old man was admitted into the hospital due to nonstop lower back pain.
The nurse placed patient in 30degree position with his hips and knees
moderately flexed. The rationale for this position is ;
(a) Relieve tension at the lumbar-sacral region.Knee flexed relieves pressure on sciatic nerve or disk.
(b) The most important thing is to medicate the patient first.
(c)30 degree position is not recommended at all.
(d) Patient is already old why all the pain.
(4) A 48years old man with rheumathoid arthritis wanted to know why he should perform range of motion(ROM) excercises .The nurse response should be based on the
understanding of the benefits of ROM:
(a) It is a good excercise for the body.
(b) To prevent contractures and deformities .Improve and maintain ROM.
(C) No need for ROM when you are not in the mood.
(d) Range of motion is contraindicated.
(5) A 12 years old boy is discharged from outpatient surgery clinic after a
arthroscopy of his left knee.Non weight bearing on his left leg for two weeks.
He has to use crutches.The nurse teaches the boy how to use crutches.
The nurse should educate the boy that to go downstairs ,he should
(a) Advance the affected leg and both crutches together.And to go upstairs
the unaffected leg first,then both crutches,then affected leg.
(b) It does not matter as long as you are using the crutches.
(c)Use the crutches only o\when necessary.
(d) Why crutches if you can use the wheelchair.
ANSWERS 1 A,2 A,3 A,4 B,5A