MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse is caring for a client who underwent a lumbar laminectomy 2 days ago. Which finding requires immediate intervention?
A
Temperature of 99.2
B
More back pain than the first postoperative day
C
Urine retention or incontinence
D
Paresthesia in the dermatomes near the wounds
Explanation: 

Detailed explanation-1: -Onset of motor signs in Parkinson disease is typically asymmetric, with the most common initial finding being an asymmetric resting tremor in an upper extremity. Over time, patients notice symptoms related to progressive bradykinesia, rigidity, and gait difficulty.

Detailed explanation-2: -Most intracranial hemangiomas are found in the skull, meninges, and dural venous sinuses while most vascular malformations occur in the brain parenchyma.

Detailed explanation-3: -Pad the sides and head of the bed. Keep the skin meticulously clean. Encourage ambulation with assistance to maintain muscle tone. Secure the patient in bed or chair with padded protective devices making sure they are loosened frequently.

There is 1 question to complete.