A patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowing
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A patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowing
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- The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient? a )“Do you depend on sleeping pills to get to sleep?” b )“Do you have a family history of heart disease?” c )“When you have pain, what do you do to relieve it? d) “What childhood diseases did you have?”The nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? a )Lethargy and fatigueb) Cardiovascular depressionc )Talkativeness and euphoriad )Difficulty swallowing and constipationWhich of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calm
- 4)The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to falls A) Poly pharmacy b) exposure to sunlight c)taking antacids d)increased fluid intakeA hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.The new graduate nurse would question the order for laxative administration in which of the following clients? (Select all that apply.) A )65-year-old male with ulcerative colitis who is having a hip replacement. B)24-year-old female with a distended abdomen who has not passed stool for three days and has just arrived at the emergency department. C)40-year-old female who uses opioids for chronic pain.A D)An 18-year-old female trying to lose five more pounds for a beauty pageant. E)A 50-year-old male with chronic hemorrhoids who is having orthoscopic surgery.
- A patient who is taking oral tetracycline complains of heartburn and requests an antacid. Which action by the nurse is correct? a )Give the tetracycline, but delay the antacid for 1 to 2 hours.b) Give the antacid, but delay the tetracycline for at least 4 hours.c )Administer both medications together.d) Explain that the antacid cannot be given while the patient is taking the tetracycline.After a patient has been treated for depression for 4 weeks, the nurse calls the patient to schedule a follow-up visit. What concern will the nurse assess for during the conversation with the patient? a )Weaknessb )Hallucinationsc )Suicidal ideationsd )Difficulty with urinationWhich technique would be most appropriate to use when the nurse is teaching a patient with a language barrier?a )Obtain an interpreter who can speak in the patient’s native tongue for teaching sessions.b) Use detailed explanations, speaking slowly and clearly.c) Assume that the patient understands the information presented if the patient has no questions.d )Provide only written instructions.
- Which of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gainA patient is receiving dobutamine for shock and is complaining of feeling more “skipping beats” than yesterday. What will the nurse do next? a) Monitor for other signs of a therapeutic response to the drug.b) Titrate the drug to a higher dose to reduce the palpitations.c) Discontinue the dobutamine immediately.d) Assess the patient’s vital signs and cardiac rhythm.The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin? a )Nonsteroidal antiinflammatory drug for arthritisb) Antidepressant drugc )Penicillind )Glucocorticoid