Blog

The nurse is providing care for a client with a diagnosis of…

The nurse is providing care for a client with a diagnosis of amyotrophic lateral sclerosis (ALS). The nurse recognizes which of the following mechanisms is suspected to play a role in the cellular death associated with ALS? Apoptosis A NP is conducting an assessment of a male patient suspected of having a disorder of motor function. Which of the following assessment findings would suggest a possible upper motor neuron (UMN) lesion? The patient has increased muscle tone, spasticity, and clonus. A 40-year-old comes to the office to evaluate pain, tingling, and numbness in the left hand and fingers. The patient reports that the pain worsens at night and now interferes with typing while working as an office secretary. Physical exam of the left hand show a loss of sensation over the dorsal and palmar aspects of the lateral 3 1/2 fingers with weakness of thumb flexion.  The affected nerve in the patient was most likely injured at which of the following locations? Carpal tunnel An older adult with alcohol use disorder has fallen and is diagnosed with a hematoma that is located on the top of the brain, with no skull fracture. The NP would diagnose which of the following hematomas? Subdural A 33-year-old woman comes to the emergency room for evaluation of palpitations. An electrocardiogram is performed and demonstrates sinus tachycardia. A carotid sinus massage is completed, and the patient’s heart rate decreases from 180/min to 100/min. Which of the following is true regarding the response seen in this patient? Afferent signals from the carotid body are transmitted via the glossopharyngeal nerve, while efferent impulses (the response) are transmitted via the vagus nerve. Spinal cord injuries occur most frequently in which region? Cervical and thoracic Multiple sclerosis and Guillain-Barré syndrome are similar in that they both do what? Result from demyelination by an immune reaction A WHNP advises a pregnant woman to add supplements of which nutrient to her diet to prevent birth defects, such as neural tube disorders? Folate The NP is seeing a 2 year old for a well-child check. Which of the following findings is most concerning due to it’s risk of serious neurologic damage if left untreated?  elevated lead level As a prescriber, the NP realizes what type of substances cross the blood brain barrier?  glucose & lipid-soluble molecules A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which disorder would the professional target as the priority? hypertension A person has been diagnosed with multiple sclerosis and asks the NP to explain the disease. What description by the professional is most accurate? Demyelination of nerve fibers in the CNS  What is the most critical aspect in correctly diagnosing a seizure disorder and establishing its cause? Health history MRI demonstrates an acute cerebral infarct on your patient. Which of the following is true regarding cerebral infarcts? The most common cause is from atherosclerosis.