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nomejodas nomejodas
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Posts: 513
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6 years ago
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 2

A 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 3

A 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 4

A 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 5

A 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 6

A 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.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: A
In the older adult, an early sign of hypoxia is often confusion and restlessness. The nurse should first assess the client's oxygen saturation. The other actions are appropriate, but only after this assessment occurs.

The answer to question 2

ANS: A
MG is an autoimmune disorder in which nerve fibers are damaged and their impulses do not lead to muscle contraction. MG is not an inherited or viral disorder and does not paralyze specific cranial nerves.

The answer to question 3

ANS: A
Clients with trigeminal neuralgia are often afraid of causing pain, so they may limit eating, talking, dental hygiene, and socializing. The nurse first assesses the client for feelings related to having the disorder to determine if a psychosocial link is involved. The other options may be needed depending on the outcome of the initial assessment.

The answer to question 4

ANS: C
The affected side is left without sensation after this procedure. The client should avoid putting harsh chemicals on the face because he or she will not feel burning or stinging on that side. This will help avoid injury. The other instructions are not necessary.

The answer to question 5

ANS: C
Plasmapheresis is an invasive procedure, and the nurse uses good hand hygiene before and after client contact to prevent infection. Antibiotics are not necessary. Monitoring vital signs does not prevent infection but could alert the nurse to its possibility. The client does not need isolation.

The answer to question 6

ANS: D
Iron and magnesium deficiencies can sometimes exacerbate or increase symptoms of restless leg syndrome. The client's magnesium level is low, and the client should be advised to add a magnesium supplement. The other actions are not needed.
nomejodas Author
wrote...
6 years ago
Perfect on my quiz, so smart <3
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