N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide

Chapter 2

©2017 Achieve Test Prep Page 198 of 204 It is very uncommon for scoliosis to appear prior to the age of ten. 2 C The most important priority nursing intervention with Harrington instrumentation is good skin care to prevent skin breakdown under the device. Diet is second priority and the device should only be adjusted by a health professional. Patients should not adjust their devices. 3 B After hip arthroplasty, special exercises are necessary to improve muscle strength. Patients should not ride in a car, walk two miles a day, and do not need to wear loose clothing. 4 B The three most common injuries seen in children after being hit by an automobile are trunk injuries, fractured femur, and head injuries. 5 D The most important issue the nurse must address in juvenile rheumatoid arthritis is pain. Since arthritis is a painful condition, pain should always be controlled before any other issues are addressed. 6 A The Colles’ fracture is most common in adults when they put their hand down to break a fall. 7 B In gout, purine metabolism is disrupted and causes elevated uric acid levels or hyperuricemia. 8 A Fosamax needs to be taken on an empty stomach. 9 C When broken bones rub together it causes crepitation. Subluxation is dislocation of a joint, proliferation is growth by the cells multiplying, and consolidation is conversion of a substance into a mass that is solid. No. Answer Rationale 1 A The most major and common side effect with cogentin is blurry vision. Cogentin actually leads to urinary retention. Swallowing difficulties with salivation are symptoms of Parkinson’s disease. 2 C Expressive aphasia will need thorough nurse teaching on alternative forms of communication. Since expressive aphasia is non-verbal, the patient may not be able to verbalize an understanding of the rehabilitation plan. Expressive aphasia may or may not be permanent. The environment in the patient’s room should be kept calm and quiet. 3 A The primary symptoms of multiple sclerosis are vision disturbances and muscle weakness. Patients with MS also experience fatigue, numbness, ataxia, and other sensory problems. Pneumonia, pressure ulcers, and urinary tract infections may or may not be complications of multiple sclerosis and are not symptoms. 4 C Generalized seizures are also grand mal seizures and cause the patient to have jerking of the body and incontinence. Auras are experienced prior to a seizure; the post-ictal state happens after a seizure and partial seizures are limited to a certain area of the body. Chapter 3 No. Answer 1 D Rationale

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