An older client is hospitalized with Guillain-Barr syndrome. A family member tells the nurse the client is restless and seems confused. What action by the nurse is best?
a. Assess the client's oxygen saturation.
b. Check the medication list for interactions.
c. Place the client on a bed alarm.
d. Put the client on safety precautions.
Question 2A client with myasthenia gravis (MG) asks the nurse to explain the disease. What response by the nurse is best?
a. MG is an autoimmune problem in which nerves do not cause muscles to contract.
b. MG is an inherited destruction of peripheral nerve endings and junctions.
c. MG consists of trauma-induced paralysis of specific cranial nerves.
d. MG is a viral infection of the dorsal root of sensory nerve fibers.
Question 3A client has trigeminal neuralgia and has begun skipping meals and not brushing his teeth, and his family believes he has become depressed. What action by the nurse is best?
a. Ask the client to explain his feelings related to this disorder.
b. Explain how dental hygiene is related to overall health.
c. Refer the client to a medical social worker for assessment.
d. Tell the client that he will become malnourished in time.
Question 4A client has undergone a percutaneous stereotactic rhizotomy. What instruction by the nurse is most important on discharge from the ambulatory surgical center?
a. Avoid having teeth pulled for 1 year.
b. Brush your teeth with a soft toothbrush.
c. Do not use harsh chemicals on your face.
d. Inform your dentist of this procedure.
Question 5A client is receiving plasmapheresis. What action by the nurse best prevents infection in this client?
a. Giving antibiotics prior to treatments
b. Monitoring the client's vital signs
c. Performing appropriate hand hygiene
d. Placing the client in protective isolation
Question 6A client in the family practice clinic has restless leg syndrome. Routine laboratory work reveals white blood cells 8000/mm3, magnesium 0.8 mEq/L, and sodium 138 mEq/L. What action by the nurse is best?
a. Advise the client to restrict fluids.
b. Assess the client for signs of infection.
c. Have the client add table salt to food.
d. Instruct the client on a magnesium supplement.